Intern's e log 1

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

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