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22 yr old male with vomitings and loose stools

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22 yr old male resident of lingotum,works in agarbathi factory came with c/o vomiting since morning 10 am,loose stools since morning 10 am. HOPI: pt was apparently asymptomatic till today morning,he had h/o packed food consumption followed by c/o loose stools assc with ?pus 4-6 episodes since today morning. c/o vomiting 3-5 episodes assc with food particles,non bilious. no c/o fever,cold,cough. c/o abdominal pain-diffuse,tenderness in epigastrium,Right hypochondrium,umbilicus. no c/o SOB,orthopnoea,PND. PAST H/O: no similar complaints in the past no h/o HTN,DM,CVA,CAD,TB,EPILEPSY. PERSONAL H/O: occasional alcoholic weekly once since 6-7 years occasional smoker. VITALS: BP-90/60mmhg PR:110/m RR:20/m TEMP:97.7 F GENERAL EXAMINATION: CVS:S1S2 + RS:BAE + CNS: NAD. DIAGNOSIS:ACUTE GASTROENTERITIS reports on 19/05/22 serology :negitive Reports on 20/05/22
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60 YR OLD MALE WITH DECREASED URINE OUTPUT

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21/04/2022 ICU 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  60yr old male farmer by occupation residing in bandapalem came with c/o  -decreased urine output since 2 days -generalised weakness since 2 days -loss of appetite since yesterday -twitching movements since morning HOPI: Patient was apparently asymptomatic 2 days back and then c/o generalised weakness and decreased urine output,loss of appetite since 2 days.yoday morning the patient was taken to mearby hospital where fluids were infused and referred to our hospital sin
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32 yr old male with pedal edema,sob

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previous admission http://poreddyjahnavi128.blogspot.com/2021/12/general-medicine.html 12/05/2022 CC: pedal edema,SOB,decreased urine output since 10 days HOPI:Pt was apparently asymptomatic 10 days back then he developed b/l pedal edema pitting type,SOB ,decreased urine output since 10 days. PAST ILLNESS: CKD ON MHD since Nov 2021 S/P DJ STENTING 1 1/2 yr ago Recurrent UTI TREATMENT H/O: K/C/O DM since 1 yr on INSULIN DIAGNOSIS: CKD ON MHD SEPSIS secondary to UTI HFPEF secondary to CAD-NSTEMI EF-46% TREATMENT: 1.INJ.LASIX 40 mg IV/BD 2.INJ.PIPTAZ 4.5g STAT-2.25 g BD 3.INJ.PAN 40mg IV/OD 4.INJ.IRON SUCROSE 1AMP IN 100 ml NS 5.INJ.NODOSIS 500mg PO/OD 6.CAP.BIO D3 PO/OD 7.T.OTOFER XT PO/OD 8.T.ECOSPRIN 180 mg PO/HS 9.T.CLOPI 75 mg PO/HS 10.SALT(<2g) FLUID(<2.5 lts) 12.T.MET XL PO/OD 1 pack of PRBS was transfused on 14/05/2022 Di
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85 yr old male with sob and pedal edema

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85 yr old male was brought to casualty with  c/o: SOB since 4days(grade 2-3),pedal edema since 4 days,decreased urine output since 4 days,h/o low grade  fever, cough(with sputum) since 4 days, HOPI:pt was apparently asymptomatic 5 days back then he developed,B/L pedal  edema,decreased urine output,anuria since morning,low grade fever with cough(with sputum),sob (grade 2-3). PAST H/O: 3 yrs ago h/o RTA,injury to L fore arm,operated ?I.M nail was put and removed after 3 months. pt used NSAID's continuously for L hand pain for almost 6 months daily.c/o pedal edema 6 months ago,creatinine was around 3.5-4 treatedwith medication,pedal edema subsided.pt continued to useNSAID's from local RMP. 2 yrs ago h/o SOB,pedal edema admitted in hospital and blood transfusion was done. N/K/C/O DM,HTN. GENERAL EXAMONATION: BP-140/90 mmhg PR-18/m RR-96/m CVS-S1S2 + RS-BAE+,Diffuse wheeze+, Rt IMA,ICA crepts +,decreased breath sounds B/L. INVESTIGATIONS Reports on 4th april
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