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dialy attendance

25/5 - Discussed about AIDP patient 26/5 - Discussed treatment of AIDP and CSF findings 27/5 - Read about CNS examination 28/5 - OP day 29/5 - ICU duty - monitored patients and learnt examination of CNS 30/5 - ICU duty - monitored patients and did CNS examination 31/5 - Discussed about cellulitis in a patient  1/6 - monitored haemodialysis for 2 patients 2/6 - discussed about gullian barre syndrome 3/6 - discussed about resistance of antibiotics In cellulitis case (our patient) 4/6 - OP day 5/6- discussed about carbepenems 6/6 - discussed about rheumatoid arthritis clinical feautures  7/6 - Further discussion about rheumatoid arthritis 8/6- discussed about antihistamines 9/6- studied about ascites case 10/6-disussed about hypertensive emergency and hypertensive urgency 11/6- OP day 12/6 - discussed about acute pancretitis 13/6 - discussed about swachman diamond syndrome 14/6 - discussed about emphysematous pyelonephritis 15/6 - Read about ascites  16/6- read about oral melanosi
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30 yr make with c/o pain abdomen and vomiting since 3 days

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30 yr male with C/O pain abdomen since 3 days  Vomiting since 3days  Fever since 2days  Decreased urine output since 2 days  Patient was apparently asymptomatic 3days back then he developed pain in epigastrium and left hemichondrium,colicky type,non radiating ,no aggravating and relieving factors Associated with vomitings since 3 days 5-6 episodes per day watery immediately after food intake non bilious nonon blood stained No h/o loose stools C/O fever since 2 days,high grade intermittent ,not associated wirh with chills and rigor No h/o cough ,cold,chest pain,sob ,pedal edema C/O decreased urine output and high coloured urine since 2 days Patient got admitted in local hospital in view of pain andomen and and vomiting and was referred here in view of decreased urine output  Not a k/c/o HTN  DM TB asthma CAD  After 2 days of admission his bp raised to 170 /90 from then he is having intermittent high bp He is chronic alcoholic since 6 yrs he has binge intake of alcohol 3 days back No sig
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INTERN'S E LOG

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"This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." CASE        A 22 years old male patient  who is a student and resident of Itukulapadu came with the chief complaints of pain abdomen and vomittings since 1 day, and did not pass stools today. HISTORY OF PRESENTAT ILLNESS - Patient was apparently assymptomatic 1 day back and then developed pain abdomen in the epigastrium, right hypochondrium and umblicus; colicky type. No aggravarting and relieving factors. Complaints of 1 episode of vomitting yesterday night
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