General medicine

March 5, 2020 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 is welcome. Team: Interns-Dr.Nagasiva               Dr.Ruchitha              Dr.Nimma siva PG's - Dr.vaishnavi pgy1           Dr.sushmitha pgy1           Dr.praneeth pgy2 C/o abdomen swelling since 2 months ,pain abdomen since 2 months ,fever with rise of temperature during nights since 2 months. HOPI: patient was apparently asymptomatic 2 months back then he noticed swelling in left side of abdomen which was increasing in size,pain abdomen since 2 months  present

C/o of fever since 1 days a/w chills and relieved on medication  vomitings since 1 day 3 episodes, non projectile and non bilious cough since 1 day , non productive  No H/o sob,pedal edema, loose stools, pain abdomen  past History  not a k/c/o HTN , DM,ASTHMA,CAD,CVA G o/E pt is conscious, coherent, cooperative  no signs pallor, icterus, cynosis clubbing lymphedenopathy, kilonycia  system Examination  R/s_ BAE+ CVS -s1,s2 + p/A -soft,non tender,not rigid,  CNA-NAD Treatment  oN the day of admission  1.IVF 1 unit with 1 amp optineuron @50 ml /hr 2.ors sachets  3.Tab PCM 650 mg po/tid 4.Inj ZOFER 4mg iv/tid 5.syp ASCORIL D 10 ml po/tid 6.TAB ZINCOVIT PO/OD 7.TAB PAN 40 MG PO/OD day 1 1.Tab AZITHROMYCINE 500 MG PO/OD 2.ors sachets  3.Tab PCM 650 mg PO/TID 4.TAB ZOFER 4MG PO/OD 5.syp ASCORIL D 10 ml po/tid 6.TAB ZINCOVIT PO/OD 7.TAB PAN 40 MG PO/OD DAY 2. 1.Tab AZITHROMYCINE 500 MG PO/OD 2.ors sachets  3.Tab PCM 650 mg PO/TID 4.TAB ZOFER 4MG PO/OD 5.syp ASCORIL D 10 ml po/tid 6.TAB ZINCOVI

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 is welcome. Team: Interns- Dr.Naga siva Dr.Ruchitha pappula Dr..Nimma siva Dr.vaishnavi PGY1 Dr.Ajith Kumar PGY1 Dr.SushmithaPGY1 39/M presented with a c/o  Right lower aspect chest pain since 1 month  -HOPI- Pt was apparently  asymptomatic 2 month back then he developed fever which is low grade intermittent with evening rise of temperature and relieved on medication associated with dry cough lasted for 10 days 2months back relived on medication   associated with  dyspnea, trepopne