Medicine case

Hello everyone I'm a medical intern.This blog is to share my experiences and cases I came across during this period This is an online E log book to post and discuss our patient's de-identified health data posted after taking informed consent where we discuss patient-centered clinical problems through series of discussions among the community of experts without letting the patient move to distant places to different doctors with an aim to solve their clinical problems with the collective best evidence input from them. This online platform also reflects my patient-centered learning portfolio. CASE PRESENTATION: A 28year old lady name X R/O Nalgonda who is a housewife came to the hospital with the chief complaint of Chest pain since 4days and SOB since 4days. HOPI:   The patient was apparently asymptomatic 4days back,then she developed left sided Chest pain which was insidious in onset, non progressive,aggregated with deep inspiration,no other aggregating and relieving factors,ass

Medicine daily log from 23-05-2020 to 22-07-2020 Soma Ram Reddy Roll no.127 23-05-20:Reporting and introduction to            medicine department,Op day,seen case of DKA 24_05_20:(Sunday):Read about DKA 25-05-20:case discussion about CVA with hemiparesis and learnt about UMN and LMN lesion diffences. 26-05-20:monitored DKA pt 27-05-20:case discussion about Hypovolemic shock secondary to acute diarrhoea. 28-05-20:Typed discharge summary 29-05-20:Case discussion about male pt.with SOB,pedal edema since 1week,Anuria since 3days. 30-05-20: Saturday-op day,seen case of AKI(D.lalitha)and pleural effusion. 31-05_20:Sunday: Rotation duty:Op day,seen patient of chest pain. 01-06-20:Monitored our unit cases. 02-06_20:AMC duty,taken ABG samples 03-06-20:AMC duty,done Nasogastric tube insertion and Foley's catheterization. 04-06-20:Monitored AKI pt(D.Lalitha) 05-06-20:Monitored AKI pt 06-06-20: OP day and casualty duty.Discharged AKI pt and Seen AR case, demonstrated Durosiers sign,and heard t