Sanjana's blog

This is a graph showing the course of illness in the patient before he was referred to us. The  patient in 2016 had fever for which he got all the routine investigations done and the reports were absolutely  normal.In  July,2017 he had fever and generalised body pains for which he was treated by a doctor at a local hospital. His fever subsided after 5 days but his body pains persisted for 2  months for which he used some medication for 1 month 15 days. After  2 months in  september , 2017 he consulted the same doctor for persisting body pains. The doctor advised for few investigations for which the patient went to a hospital in  hyderabad  and got the tests  done.Here  they informed him that his kidney functioning  wasn't  good and his serum creatinine was 8.9 mg/dl and he needs to be initiated on  Hemodialysis.(but the pt was completely asymptomatic except for his body pains).He  underwent 2 cycles of  Hem...

Morbidity Meeting Ksr by on Scribd

Disclaimer:This is a HIPAA de-identified open-online-patient-record with patient information posted here after collecting informed patient consent. 60 yr old male pt agricultural laborer residing at Nalgonda District presented to the OPD saying "I was completely normal 2 and half years back then one day I had electric shock like sensation in my lower back and burning sensation in both my legs occasionally.. I was alright for about 6 months and suddenly I felt burning sensation in both my feet a/w tingling and pins and needles sensation so much that I couldn't even get up from my bed.Later I had difficulty in walking and I felt like I was walking over the rope while walking. My footwear did not slip away. Yes.. I felt the sensation of clothing on me.. I was able to differentiate between hot and cold water while bathing. But I felt the same burning sensation in my hands up to wrists but I had no difficulty in mixing food and combing my hair.But my neck is so stiff that when...

Disclaimer:This is a HIPAA de-identified open-online-patient-record with patient information posted here after collecting informed patient consent. 65 yr old male, labourer by occupation, chronic smoker and alcoholic came with complaints of:     Vomitings followed by abdominal distension associated with abdominal pain and shortness of breath since 20days.    Pedal edema G-2, pitting type, for a week which got subsided later.  Loss of appetite & constipation since 15 days. History of presenting illness:       I was apparently normal 20 days back then I developed   vomitings 6 episodes in the evening containing food particles and yellowish liquid after binge drinking (actually I gave up alcohol for 3 months and now I had this country drink) followed by Abdominal distention which I noticed the next day morning and it was associated with abdominal pain which was diffuse below the my belly button and also difficulty in ...

Disclaimer: This is a HIPAA de-identified open-online-patient-record with patient information posted here after collecting informed patient consent. 72 yr old male retired teacher... his story begins with...  he fell down from bicycle and sustained injury (in 1992) At that time he had Difficulty in micturition and passing stools, and also difficulty in walking Later he Lost sensations in lower limbs. It was diagnosed to be paraparesis. After 10 days he underwent spinal surgery He slowly started recovering for 1 yr (1993) Meanwhile he developed Intermittent symptoms of Precipitancy, hesitancy, urgency... he has urge to pass urine but by the time he reaches restroom he used to pass urine He had h/o urinary retention 3 times in one yr which required draining by foley's catheter...he was diagnosed with T2DM and HTN and on metformin since then. In 2017 he developed dyspnea which was gradually progressive from grade 1 to 3 (NYHA). No h/o orthopnea, PND. No h/o pedal edema ...