Posts

Showing posts from September, 2021

General medicine ELOG : 45 yr old female presented with vomiting,epigastric pain

Image
  GM : ELOG   45 year old female  NOTE This is an ongoing case and will be updated . This e log is made under the guidance of Dr. TEJASWINI  The reference link (if any) will be mentioned at the bottom. Date of admission: 30/08/21 HISTORY OF PRESENT ILLNESS-  A 45 year old female , resident of miryalaguda presented with the complaints of  vomiting since 1 month, epigastric pain since 1 month ,  Loose stools since 10 days She was diagnosed to be hypertensive 2 years back and on medication. She first developed fever along with headache 1 month back which lasted for 2 days followed by vomiting everyday 1-2 episodes / day for the last 25 days .  Since last 1 week she has been experiencing 10-12 episodes of non projectile ,non bilious, on blood tinged vomiting containing food particles. Loose stools - green colour ,watery, small stools, no tenesmus PAST HISTORY: Known case of HYPERTENSION since 2 years. On irregular medication. Tab.Atenolol 25 mg. History of hysterectomy 25 years back.  

GM: ELOG 45 yr old female

Image
GM : ELOG   45 year old female  NOTE This is an ongoing case and will be updated . This e log is made under the guidance of Dr. TEJASWINI  The reference link (if any) will be mentioned at the bottom. Date of admission: 31/08/21 HISTORY OF PRESENT ILLNESS-  A 45 yr old female pt came with chief complaints of fever with chills since 3 days Hopi - pt was apparently asymptomatic 3days back then she developed high grade fever associated with chills ,rigors No c/o of cough, cold,  No c/o of chest pain , palpitations, syncopal attacks No c/o of sob , orthopnea ,pd Nausea present  no vomiting  loose stools No c/o of abdominal distention  C/o of , burning micturition, decreased urine output  PAST HISTORY No h/o HTN,, CVA, CAD,TB, epilepsy. K/c/o dm since 2 yrs on regular medication  PERSONAL HISTROY Decreased appetite Bowel and bladder movements are regular Non alcoholic , non smoker  The patient is conscious coherent and cooperative Moderately built and moderately nourished.  VITALS PR:80bpm B