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Rajkumar Adepu Roll no 08

1st Internal Examination

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- January 11, 2023

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27 yr old male presented with stomach pain

- December 31, 2022

27yr old male resident of vellanki Mason by occupation came with chief complaints of stomach pain since 2 days An episode of vomiting just before presentation HOPI: Patient was apparently asymptomatic 3days ago then he developed stomach pain in epigastric area which is insidious in onset pricking and shooting type of pain radiating to back (lumbar region) gradually progressive in nature aggregated on not having food and no relieving factors 7-8 episodes of non projectile and non bilious vomiting History of fever 10days ago History of weight loss, loss of appetite, insomnia, fatigue No complaints of chest pain, palpitations, SOB, headache, burning micturition,loose stools, giddiness SEQUENCE OF EVENTS PAST HISTORY He is known alcoholic since 5 years with a daily intake of 160ml No history of DM,TB, ASTHMA,HTN, EPILEPSY, THYROID DISORDERS, ALLERGIES FAMILY HISTORY No relevant family history PERSONAL HISTORY Diet mixed Appetite reduced Bowel and bl...

1801006001- Short case

- March 15, 2023

This is an online E log to discuss our patients 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 evidence based inputs. This E log book also reflects my patients-centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaints: A 55 YEAR OLD MALE CAME WITH C/O ABDOMINAL DISTENTION SINCE 1 MONTH DECREASED APPETITE SINCE 20 DAYS FEVER SINCE 10 DAYS History of present illness: PATIENT WAS APPARENTLY ASYMPTOMATIC 1 MONTH BACK, THEN DEVELOPED ABDOMINAL DISTENTION WHICH IS INSIDIOUS IN ONSET AND GRADUALLY PROGRESSIVE. FEVER SINCE 10 DAYS WHICH IS OF HIGH GRADE, ASSOCIATED WITH CHILLS AND RIGORS, RAISED DURING EVENING AND NIGHT AND RELIEVED ON MEDICATION. HE ALSO HAD DECREASED APPETITE...