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GENERAL MEDICINE E LOG BOOK BY PAWAN BHASIN ROLL NO. 115

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.

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- October 30, 2021

DR.HUDA(INTERN)

DR.RUTHWIK (INTERN)

DR.PAWAN BHASIN (INTERN)

DR.SHUBHASRI(INTERN)

DR.DURGA(INTERN)

DR.SHASHIKALA (PG-2)

DR. DIVYA(PG-3)

DR.RASHMITHA(PG-3)

DR. HAREEN(SR)

DR. ARJUN (AP)

DR. RAKESH BISWAS (HOD)

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MITRAL STENOSIS by PAWAN BHASIN Roll no. 124

- May 28, 2020

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. May 28, 2020 CASE OF A 55 YEAR OLD FEMALE WITH HEART FAILURE Written by : PAWANBHASIN Final MBBS- IV part II Roll number : 124 Given case data available at this link : https://himabindu5.blogspot.com/2020/05/hello-everyone.html According to the data provided to me, the analysis made by me is as follows: Age : 55 years , Sex - female, Occupation - agricultural labourer(works in paddy fields) Chief complaints : Patient came with the chief complaint of : Shortness of breath(since 3 months)...

61y old CRF

- January 28, 2022

A 61 y old patient who was a tailor by occupation later owns an emporium Came with complaints of Sob since 15 days Pedal edema since 15 days K/c/o diabetes mellitus since 30yrs (inj. HAI 8U-8U-6U) K/c/o HTN since 30 yrs on nicardia 20 mg OD No significant family history He is married with normal appetite ,non vegetarian, bowel- regular , decreased micturation , no known allergies , Addictions- O/E pt is c/c/c moderate in build and well nourished Pallor- present Edema of feet - present Temp- afebrile Bp-140/90 mmhg PR-84bpm RR- 26cpm Spo2-97 at RA CVS -s1s2 heard , no murmurs RS- BAE + Abdomen - soft and non tender CNS- NAD PROVISIONAL DIAGNOSIS Chronic renal failure on MHD hypertensive since 30 yrs, dm - since 30 yrs

72 y old with HFrEF 2° to CAD , AF WITH CVR

- November 11, 2021

A 72 y old male patient general physician by profession came to opd with the c/o palpitations and shortness of breath on exertion since 6 years C/o insomnia since 10 years on alprazolam o.5 mg, C/o dryness of mouth on taking medication No pedal edema, orthopnea, PND *2015 - ACUTE LV FAILURE EF20% On cardivas , losartan 25mg , dabistar 110 mg No h/o DM, SMOKING, ALCOHOL ,TB K/C/O HTN since 6 yrs NO SIGNIFICANT PERSONAL AND FAMILY HISTORY O/E PT IS C/C/C MODERATELY BUILD AND NOURISHED TEMP-98.1°F PR-62BPM RR-24 CPM BP-140/90 MMHG SPO2 99 AT ROOM AIR SYSTEMATIC EXAMINATION CVS-S1S2 HEARD RS-BAE+ NVBS ABDOMEN - SOFT ,NAD CNS- NAD PROVISIONAL DIAGNOSIS HFrEF 2° TO CAD AF with CVR TREATMENT Tab. Pan 40 mg po/od 7am Tab. Losar H 5p/12.5 mg po/od 8am Tab. Dapaniflozin (oxra 10 mg) - po/od Tab. Digoxin 0.25 mg po/oD Tab. Cardivas CR Po/oD Tab ALZOLAM O.5 po/oD Discharge summary...