Dr Raga Deepika Chakravarthula

http://drkulkarnimd.blogspot.com/2022/07/36m-with-decreased-appetite-nausea-and.html Patient came with complaints of  C/O weakness and fatigue since 3 days Unable to lift his rt upper limb since 3 days History of fever 2 days back Swelling of lower limbs from 2 days Fever : low grade  No diurnal variation Duration 1day Associated with chills  Subsided after taking medication Not associated with cough and cold  Not associated with loosestools. ? Burning micturation present Weakness of rt upperlimb Pain + @ right shoulder Inability to move since 4 days Able to move his fingers and forearm Not history of trauma or lifting heavy weights No radiation of pain to neck and chest Swelling of lower limbs Bilaterally present grade 1 [pitting type] History of pedal edema on and off present past 1 year Not associated with sob , pnd, chest pain, Palpitations, Patient is a known case of DM since 2 years , was on HAI and NPH given by her wife at lateral aspect of arm and on thighs  Alcoholic since 15

61-year-old male, a mason by occupation presented to the casualty with  complaints of fever for 10 days  cough since 1week  shortness of breath since 1week   HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 3 years back then he developed Involuntary movements of the right upper limb which was initially less intense then slowly progressed to the rest with an increase in amplitude and frequency,  not associated with other abnormalities like weakness of limbs, giddiness, syncope.  associated with slowing of movements and difficulty in turning while walking for the past 2years for which he even stopped working. the patient went to a local practitioner for the same and was given medications but was in vain, he even traveled all the way to Karnataka to get his condition treated with local medication but was found to have no improvement in his symptoms . 2 years back patient started to increase his alcohol consumption after his wife demise and was having these mood distur

70 year old male farmer by occupation came with complaints of pain in bilateral lower limbs and edema since 6 months  Neck pain radiating to hands since 1 month  Patient was apparently asymptomatic 20 years back then he developed pain and generalised weakness of body for which he stopped working as farmer and started to stay near his farm animals as rancher and with almost sedentary life style  3 years back patient developed pain in multiple joints increased with movements so went for local practioner and was taking occasional pain killers (?nsaids) once every 2 months  6 months back patient started to develop swelling of both lower limbs from the level of thighs and associated with pain in the lower limbs, oliguria since 1 month then came to our hospital and was investigated  Found to have  Serum creat :4.5 Urea:152  K : 5.3 Usg : Bilateral grade 2 rpd changes , lt simple Cortical cysts Patient was started on Tab Lasix  Pedal edema subsided and is grade 2 pitting type  Not associated

This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from  available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input  This E-blog also reflects my patient's centred online learning portfolio.  This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input  This E-blog also reflects my patient's centred online learning portfolio.   A 70 year old male farmer by occupation came to the hospital with complaints of fever and weakness in lower limbs.  CHEIF COMPLAINTS: Fever

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.” A 57 year old male resident of narketpally came to the OPD with chief complaints of pain in the right loin , frothy urine ,fever and decreased appetite since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had pain in the right loin region which is insidious in onset and gradually progressive not associated with nausea vomiting and loose stools. H/o frothy urine fever with chills and rigor and decreased appetite since 5 days. Altered sensorium