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A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week

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  October 17, 2023   Hi I am, Madhuri palsa  5 th sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week Chief complaints Patient complaints of swelling in limbs and face since 1 week History of presenting illness Patient was apparently asymptomatic 1 week back  He then developed swelling of body -upper limbs,lower limbs and face Pitting type, insidious onset and gradually progressive Complaint of chest pain,palpitation and decreased urine output SOB Ulcer over sacral region History of past illness Not a known case of  Diabetes  Hypertension Epilepsy Asthma Tuberculosis No history of trauma in the past Personal history Sleep:adequate  Diet: mixed Bowel and bladder moveme

A 51 year old male patient came to old with chief complaints of shortness of breath since 2 months

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 Hi I am Madhuri palsa ,6th sem medical student .this is an online e blog to discuss our patients deidentified health data shared after taking his /her /guardian signed informed consent  51M farmer by occupation , resident of nalgonda ,came to opd with c/o shortness of breath since 2 months HOPI  Patient was apparently asymptomatic 2 months ago then he developed SOB of insidious onset, gradually progressive increasing in intensity since 2 months (Glade II- III) No h/o constipation , nausea , vomiting ,burning micturation  PAST HISTORY : N/k/c/o DM , HTN , CAD,TB, epilepsy , thyroid disorders  FAMILY HISTORY :  not significant  PERSONAL HISTORY :  Decreased apetite  Mixed diet  Decreased bowel movements  Normal micturation  No known allergies  Alcoholic since 3 yrs  GENERAL EXAMINATION : I have examined the patient after taking prior consent and informing the patient in the presence of a attendant. The examination was done in both supine and sitting position in a well lit room.  - patie

A 41 year old male patient with chronic liver disease

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a 41 year old male patient with chronic liver disease  August 28, 2022 Iam P.Madhuri 3rd semester medical student.this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. Chief complaint:A 41 years old male patient, farmer by occupation, living in narketpally came to the opd with fever, weakness, body pains, swelling of lower limbs, nausea, vomiting, headache, loose stools. History of present illness: the patient was apparently asymptomatic 10 years ago, then he was diagnosed with hypertension since then he was on medication.he started consuming alcohol when he was 23 years old, he used to drink 2 large glasses of alcohol, which was gradually increased to 6 large glasses till 9 months back and then he developed weakness, involuntary fine movements more likely as tremors, yellowish discoloration of sclera, and he got admitted here, then through medication the symptoms are manged. 2 years ba

A 41 year male patient with liver disease

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a 41 year old male patient with chronic liver disease  August 28, 2022 Iam P.Madhuri 3rd semester medical student.this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. Chief complaint:A 41 years old male patient, farmer by occupation, living in narketpally came to the opd with fever, weakness, body pains, swelling of lower limbs, nausea, vomiting, headache, loose stools. History of present illness: the patient was apparently asymptomatic 10 years ago, then he was diagnosed with hypertension since then he was on medication.he started consuming alcohol when he was 23 years old, he used to drink 2 large glasses of alcohol, which was gradually increased to 6 large glasses till 9 months back and then he developed weakness, involuntary fine movements more likely as tremors, yellowish discoloration of sclera, and he got admitted here, then through medication the symptoms are manged. 2 years ba