A 27 year old female with fever and productive cough

Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  CHIEF COMPLAINT A 40 year old female patient cane to the opd with chief complaints of paralysis in left upper and lower limbs since 2 years and Bilateral blurred vision since 2 ywars and Cough since 4 days HOPI The patient was apparently asymptomatic 2 years ago then she devloped paralysis in left upper and lower limbs which was sudden in onset associated with blurred vision.She then developed cough 4 days ago which was not associated with sputum. No complaints of headache No complaints of dizziness  No sinusitis  No h/o loss of consciousness  No complaints of chest pain, palpitations, SOB No complaints of pain abdomen, vomitings, loose stools, burning micturition PAST HISTORY  patient is k/c/o HTN since 2 years N/k/c/o DM, bronchial asthma, epilepsy, Tb, thyroid disorders FAMILY HISTO

Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week Chief complaints Patient complaints of swelling in limbs and face since 1 week History of presenting illness Patient was apparently asymptomatic 1 week back  He then developed swelling of body -upper limbs,lower limbs and face Pitting type, insidious onset and gradually progressive Complaint of chest pain,palpitation and decreased urine output SOB Ulcer over sacral region History of past illness Not a known case of  Diabetes  Hypertension Epilepsy Asthma Tuberculosis No history of trauma in the past Personal history Sleep:adequate  Diet: mixed Bowel and bladder movements: normal Addictions:  Alcohol since 25yrs regul

  Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  CHIEF COMPLAINTS  51M farmer by occupation , resident of nalgonda ,came to opd with c/o shortness of breath since 2 months HOPI  Patient was apparently asymptomatic 2 months ago then he developed SOB of insidious onset, gradually progressive increasing in intensity since 2 months (Glade II- III) No h/o constipation , nausea , vomiting ,burning micturation  PAST HISTORY : N/k/c/o DM , HTN , CAD,TB, epilepsy , thyroid disorders  FAMILY HISTORY :  not significant  PERSONAL HISTORY :  Decreased apetite  Mixed diet  Decreased bowel movements  Normal micturation  No known allergies  Alcoholic since 3 yrs  GENERAL EXAMINATION : I have examined the patient after taking prior consent and informing the patient in the presence of a attendant. The examination was done in both supine and sitting