VARSHITHA’S ELOG

September 05, 2020

Hello everyone.. I am varshitha , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties.

Here we discuss our individual patients 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-centred online learning portfolio and your valuable inputs on the comment box is welcome

Here is the case I have seen-

A 61 year old female came to the opd with the chief complaint of fever since 6 days ,headache since 6 days ,body pains since 6 days, vomiting since morning (3/09/2020)

History of presenting illness-

Patient was apparently asymptomatic 6 days back,then she developed fever which was insidious in onset,lowgrade, intermittent type ,No h/o night sweats .Patient gave H/o fever since one month for which she went near a Rmp and took medications. She gave h/o headache since 6 days for which she went near an ophthalmologist and got specatacles for the same ,generalized body pains since 6 days,h/o giddiness since 6 days ,no h/o diplopia,blurring of vision,cough,weight loss,burningmicturition,constipation,shortness of breath,malena,heametemesis,loss of appetite

Past history -

Not a k/c/ o DM,HTN, thyroid , epilepsy , asthma

No past surgical history

Personal history-

She has a mixed diet, with normal appetite ,adequate sleep and regular bowel and bladder movements

Family history-

Not significant

General examination -

Patient was c/c/c , moderately built and nourished

P/A-

Shape- scaphoid, no local rise in temperature, no tenderness, no organomegally, hernial orifices are free

Cvs-