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40 M C/o weaknesses of body since 1 month

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40 yr male  Pt came to the opd with C/o weakness of the body since 1 month  Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month .  Weakness is associated with the the dizziness and sweating .  No H/0 nausea , vomiting , burning micturition, constipation .  Past H/o : k/C/o HTN since 4yrs but not taking any medication                    N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid.  General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished.  General examination; No pallor ,  icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals  Temp- afebrile  PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,S2 heard,no murmurs RS - BLAE, NVBS   Per abdomen - Tenderness present in the epigastric region and
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Procedures performed

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 Hello everyone , Iam vinil reddy an intern in Kim’s Narketpalli.  This is an e log about the procedures performed during my internship period mainly during my general medicine postings .  During my unit postings I have taken different cases .  For  The case report links and learning points in those cases visit below link  https://vinilreddynallamdompallyrollno101.blogspot.com/2023/11/my-experiences-with-general-cellular.html I had also done ultrasound of the arm because of the presence of swelling in the left arm .  The usg  showed the globular swelling which is the epitrochlear lymph node draining the localised biceps myosotis.  The usg also showed inflammation of the muscle . Which is biceps myositis  For the video of the ultrasound visit below link  https://youtube.com/shorts/VvLjDJl_c2E?si=SAQQ_tZO9J2qzK86 I had also assisted in 2 central line procedures during my nephrology postings .  I had also placed foleys catheter and ryles tube .  Following is the story about how I had done
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Evidence based date wise workflow logs collated by the intern with clickable and verifiable links

Evidence based date wise workflow logs collated by the intern with clickable and verifiable links  Case :1  https://chat.whatsapp.com/KL4ow3jjldQ0ovKKklCYNi  [06/11/23, 8:11:39 AM] Rakesh Biswas Sir GM HOD: The case report link in the description box is incorrect. Share the correct link. See how correct links to your batchmate's online learning portfolios look like at our dashboard here 👇 http://medicinedepartment.blogspot.com/2022/02/?m=0 [06/11/23, 8:13:44 AM] Vinil Reddy: Ok sir [06/11/23, 8:14:09 AM] 75F FEVER , BURNING MICTURATION SINCE 4 DAYS Telangana Pajr: ‎You changed the group description [06/11/23, 8:51:32 AM] Vinil Reddy: S: Fever and burning micturition since 4 days  O: pt is conscious, coherent,cooperative. BP: 120/80mmhg PR: 96 RR: 20 Temp: 98.5F RS: BAE+ clear CVS: s1,s2 no added sounds P/A: not tender CNS:NAD A: AKI on CKD with sepsis secondary to UTI P:  1.IV fluids (NS AND RL) 50ml/hr 2.Inj.ceftriaxone 2gm/IV/BD 3.Inj.lasix 20mg/IV /BD  4.Inj. Buscopan 1amp IM/s
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MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "

  "MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE " I am N.Vinil Reddy an intern at Kamineni Institute of Medical Sciences. This is an e log where I discuss about the various cases I have seen during my UG and internship period . CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.  My first case and experience about a 58 yr male with c/o swelling of B/L lower limbs . My first patient interaction had occurred during the medicine postings of 3rd semester. There is a 58yr old male patient lying on the bed in the ne
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58 year old Male with c/o pain abdomen since 2 days

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.  Patient came to causality with c/o pain abdomen since day before yesterday evening .  Hopi - patient was apparently alright till day before yesterday evening then he had pain in the epigastric region which is sudden in onset , gradually progressive , dragging type of pain , radiating to the umbilical region not associated with nausea and vomiting . Aggravating on taking food  No c/o fever , cold , cough , chest pain , SOB Past history: similar complaints in the past in jan 2023 and jul 2023 , a
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75 YEAR OLD FEMALE WITH C/0 FEVER , BURNING MICTURATION SINCE 4 DAYS

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  A 75 year old female came to the medicine opd with c/o fever and burning micturition since 4 days  Hopi : patient was apparently normal 4 days back then she developed fever which is of low grade , intermittent associated with chills and rigor not relieved by medication . Subsided now .  C/o burning micturition since 4 days  and c/o generalized weakness since 4 days C/o swelling of both lower limbs 2 days back pitting type , extending up to knee joint , reduced now .c/o dryness of tongue , c/o pain in the lower abdomen . No c/o decreased urine output ,SOB , chest pain , loose stools , orthopnea , PND , constipation.  Past history: N/K/C/O DM , HTN , asthma , epilepsy , cva , cad , thyroid disorders. Personal history:- Diet - Mixed Appetite - Normal Bowel and bladder - regular Sleep - adequate No addictions No H/o food and drug allergies Family history:- Not significant  General examination:- Patient Patient is conscious, coherent, cooperative ,moderately built and nourished Pallor is
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