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A 65 year old patient came to general medicine OPD with the chief complaints of swelling allover the body

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GENERAL MEDICINE E-BLOG  Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 65 year old female housewife from Adaguduru mandal came to General Medicine OPD with chief complaints of swelling in the legs, abdomen, hands and facial puffiness since 1 week. HISTORY OF PRESENTING ILLNESS She was apparently assymptomatic 1 week ago. Then she developed sudden onset of generalized edema which was moderate in the beginning and gradually increased in the evening. It was associated with dypsnoea on exertion. It is not associated with pain, rise in temperature, nausea, vomiting and diarrhoea. She was taken to Suryapet hospital where she received medication which showed slight improvement and she came here
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A 65 year old female patient came to general medicine OPD with the chief complaints of blurred vision and burning sensation in feet

GENERAL MEDICINE E-BLOG  Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 65 year old married female patient, housemaker by occupation came from Errapally to general medicine OPD with the chief complaints of burning sensation in both feet since 1 year and blurring vision since 10 days  HISTORY OF PRESENT ILLNESS  The patient was apparently asymptomatic 1 year ago. Then she gradually developed burning sensation in both the feet while walking which was progressive over days. 3 days ago she experienced episodes of blurring of vision just after meals which subsided in the next 1-2 hrs. She complains of 2 episodes per day one in the morning and other in evening time after having lunch and dinner
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A 60 year old male patient came to general medicine OPD with the chief complaints of back pain and difficulty in breathing while walking

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GENERAL MEDICINE E-BLOG  Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 60 year old married male farmer from Gundala village came to general medicine OPD with the chief complaints of backpain from neck to hip and difficulty in breathing while physical activity  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 6 months ago  6 months ago he had abrupt onset of dragging type of pain in the cervical to sacral region of back due to which he was not able to walk properly and his daily activities were restricted. He also complains of dyspnea on exertion which started abruptly from the time of onset of pain. He didn't have any associated headache but complains of 1 episode of 
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A 54 year old female patient came to general medicine OPD with the chief complaints of increased frequency of vomiting

GENERAL MEDICINE E-BLOG  Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 54 year old female patient farmer by occupation came to medical OPD with chief complaints of Vomiting since 2 years Associated with headache, unconsciousness and neck pain. HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 years ago. Projectile vomiting since 2 years which increased since 6 months. Frequency of vomiting was one per one month for two years which increased to one per 15 days since 6 months. Vomiting is non bilious, non blood stained, watery with food contents, Vomiting is preceded by nausea, headache, and giddiness and succeeded by unconsciousness and syncope. Also associated with swea
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A 35 year old male patient came to general medicine OPD with the chief complaints of hypopigmented patches

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GENERAL MEDICINE E-BLOG Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 35 year old married man, working as a tractor driver, resident of Bhongir came to medicine OPD with  Chief complaints of increase in size of the discolouration of skin since 8 months HISTORY OF PRESENT ILLNESS   The patient was apparently asymptomatic 8 months ago and suddenly noticed heat rashes over the nose area. It was not itchy. The rash persisted for 15 days. The skin started peeling off of the rashes with skin hypopigmentation and mild pain. After 10 days, he decided to consider herbal medicine and took it for 15 days which was not of any help. The patches kept spreading to his chest, upper limb and legs over th
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A 70 year old male patient presented with chief complaints of shaking hands and memory loss since 1 year

GENERAL MEDICINE E-BLOG Hi, I am M. Sohith Mahadeva Reddy of 5th semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 70 year old male carpenter from Buddharam came to the general medicine OPD with the chief complaints of shaking hands and memory loss since 1 year HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 year ago Then loss of orientation and tremors started abruptly. Tremors were resting tremors present throughout the day associated with tingling sensation and were relieved during sleep. They were associated with 2 episodes of headache per week which was localised to bitemporal region and radiates to neck bilaterally and not associated with nausea, vomiting, photophobia and phonophobia. Tremors were localised
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A 55-year-old male patient came to general medicine OPD with the cheif complaints of burning sensation in left leg and arm

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Hi, I am M. Sohith Mahadeva Reddy of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his/her condition. A 55-year-old male laborer from Nomula village of Nakrekal came to general medicine OPD with the cheif complaints of burning sensation in left leg and arm since 3 days  HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 3 days ago From 3 days, he developed episodes of burning and tingling sensation in both upper and lower limbs, which were insidious in onset and lasted for 30 minutes and subsidies on physical activity.  The episodes were associated with tetanus in the fingers when he tried to lift his hand straight above his head . The burning sensation starts in the proximal limbs and extends to the distal fingers. In the lower limb, h
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