Sushma Annarapu

Welcome and greetings to every one who are visiting my blog.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 patients 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 comment box is welcome . Chief complaint: A 53 year old male came to OPD complaints of involuntary shaking of hands since 2 months History of present illness: Patient was apparently asymptomatic 15 months back then gradually developed tremors of left hand which gradually increased in intensity from the past two months tremors decreased on doing physical activity and increased on rest and of intermittent type (on and off) No history of trauma No

Welcome and greetings to every one who are visiting my blog.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 patients 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 comment box is welcome. Chief complaint : A 55 year old male came to OPD complaints of left side chest pain since 15 days Right chest pain which is radiating to back and also complaints of body pains, headache, sleeplessness.   History of present illness : Patient was apparently asymptomatic 15 days then he developed left chest pain which is radiating to back and also complaints of right side chest pain. Dry eyes,dry mouth No h/o fever, nausea,

Welcome and greetings to every one who are visiting my blog.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 patients 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 comment box is welcome . Chief complaints:  c/o fever sice 1 week History of present illness:   patient was apparently asymptomatic and then developed fever associated with chills which resolved on taking medication but fever reappeared associated with generalised weakness Pain in the abdomen 2 days back associated with tightening of abdomen No h/o vomitings and diarrhoea and no other complaints. History of past illness:  Not a k/c/o diabetes me

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days. October 28,2022 Chief complaint: A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days. History of present illness:  patient was apparently asymptomatic ten days back then later he noticed sob(grade 2 and grade 3)with aggravating and relieving factors -decreased urine output History of past Illness: - no complaints of burning during micturition -k/c/o- htn since 10 years -n/k/c/o- asthma, epilepsy,cad,tb Treatment history:   -no

45 years old female came to OPD complaints of loss of appetite, vomiting and itching all over the since seven days. October 22,2022 Chief complaint : patient complaints of loss of appetite and vomitings and itching all over the body since seven days. -patient was apparently asymptomatic 4 years back and developed right loin pain and fever for which she visit NIMS and she also complaints of vomitings single episode immediately after taking food. History of present illness:  - no fever -no headache -pain abdomen -chest pain  -no loss of appetite since seven days. History of past Illness:  - n/k/c/o- htn,DM,asthma,and cad Treatment history: -no diabetes -no htn -no cad -no asthma -no TB -no known history of taking antibiotics and chemo therapy, radiotherapy,blood transfusion Surgeries undergone: right nephrectomy. Personal history - married -occupation: farmer -appetite: lost -mixed diet -bowel and bladder: regular -micturition: normal - no known allergies -no addictione Family history :