JANHAVI VIRANI ROLL NO 58

  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.  28/07/2022 Blog by Janhavi Virani  Roll no 58 A 53 year old female who is a resident on Narsampet and is a farmer by occupation presented with chief complaints of  1. Fever since 4 days  2. Pain abdomen since 4 days  3. Chest pain since 4 days  HOPI -  Patient was apparently asymptomatic 4 days back  then she developed fever which was sudden in onset , intermittent  associated with chills , headache , weakness and body pains .  No history of nausea, vomiting or rash  Complains of abdominal pain since 4 days which is gradually progressive diffuse dull aching type not  associated with diarrhoea , dysuria or  vomiting    Not associated with food intake  She says she has gas problem .  Chest pain since 4 days  associated with shortness of breadth  DAILY ROUTINE-  Patient usually gets up at 5:00 am in the morning does her household chores

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.  20/07/2022 Blog by Janhavi Virani  Roll no 58  46 year old male patient who is Presser by occupation resident of Miryalguda brought to casuality with chief complaints of  — recurrent episodes of seizures since the day before  — pain and swelling in right shoulder  Patient was apparently asymptomatic 12 years back then he had his first episode of seizure , 6 months back he had 2nd episode of seizure, 2 days before presenting to opd he had 2 episodes and the day before he came to opd he had 8 episodes of seizure.  He presented with recurrent seizures abrupt in onset , each episode is associated with bilateral upper and lower limb spasms, up rolling of the eyes , tongue biting and state confusion after episode.  Tongue biting is associated with bleeding.  Each episode lasting for 1 to 5 mins .  Occurrence of seizures is after alcohol cons