General medicine Cases

A 27 years old male patient who is preparing for govt. job is also an agriculture worker , came to the opd with the complaints of  •fever since 15 days  •generalized weakness since 1 month. HOPI: patient was apparently asymptomatic 1 month back,then he developed generalized weakness and dizziness. He visited some MBBS doctor for the same complaints,was given some medications and was advised to visit a hospital. • H/o fever since 15 days. On and off.  Low grade. Not a/w chills, rigor. No h/o muscle pain. H/o loss of weight of 10 kgs in 6 months  He does agricultural work for 6 hours in a day and then he prepares for govt. job at night. H/o decreased intake of food and inadequate sleep since 1 month. No h/o abdominal problem. No h/o cold and cough. No h/o burning micturition. No h/o numbness,tingling sensation • past history: No similar complaints in past. Not a k/c/o TB,asthma,htn,DM,CAD,epilepsy. PERSONAL HISTORY: Appetite : less Sleep: inadequate Diet: mixed B/b : regular Addiction

This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan. Sir this case was taken on October 30 , 2022 DATE OF ADMISSION OF PATIENT :22-10-2022. C/O:  Severe fever and legs pain since 4 days. HOPI:  16 year old boy, fast food centre master by occupation, came to the casualty with complaints of severe fever and legs pain since 4 days. Patient was apparently asymptomatic and had a good appetite before. He slowly developed fever,legs pain since 4 days, abdominal pain since 1 day, vomitings 6-7 episodes/day, bilious loose stools 4-5 episodes/day( liquid consistently). Patient was diagnosed and told that he had high creatinine levels due to which he had to undergo dial

Sir this case was taken on 23rd September A 19yr old male patient came to the opd with chief complaints of fever Since 1 week. HOPI:- Patient was Apparently asymptomatic 1 week back then he developed fever with chills which is high grade ,sudden in onset & associated with body pains .Relieved on medication. 2 days back he was taken to outside hospital there his platelet count was 1,29,000 cells/cumm, yesterday they were 1,32,000cells/cumm.Today they were 98,000cells/ cumm. No h/o Loose stools, vomitings, No h/o Hematuria, dark stools. No h/o pain abdomen,giddiness. PAST HISTORY:- Not a k/c/o HTN,DM, Thyroid, Epilepsy. PERSONAL HISTORY:- diet- mixed Appetite- normal Sleep- adequate Bowel and bladder movement- normal GENERAL EXAMINATION:- Patient was conscious, coherent, cooperative,well oriented to time place and person. Moderately built & moderately nourished. No pallor,Icterus,cyanosis, lymphadenopathy, clubbing. BP -90/60mmhg PR -84 RR -14cpm Spo2 -99 Temp:-99.5 F CVS- S1 S2