42 supriya gagireddy

SUPRIYA GAGIREDDY 42 Hi,I am supriya 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.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 reflects my patient centered online learning portfolia.  Patient is referred from Dermatology department.  A 66 year old male patient from Kakkereni, AP Lingotam, Shepherd by occupation came to the OPD with CHIEF COMPLAINTS:  Multiple painful blisters all ove the body sparing palms and soles.  History Of Presenting Illness Patient was apparently asymptomatic 5 years ago then he started developing itching all over the body suddenly which subsides temporarily on applying Vaseline.  5 days ago he developed a blister on the dorsal surface of the middle

SUPRIYA GAGIREDDY 42 Hi,I am supriya 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.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 reflects my patient centered online learning portfolia. CHIEF COMPLAINTS A 54yrs old female who is a housewife from Nalgonda came to opd with chief complaints of SOB since 2days and generalised weakness. HOPI : Patient was apparently asymptomatic 8 months ago then she developed SOB which is insidious in onset and continuous in nature which aggravates on walking and also on lying down.It gets relieved on sitting position [grade 3 SOB].It is also associated with dry cough.She also has genearalised weakness and also fever since 8months which is inter

SUPRIYA GAGIREDDY 42 Hi,I am supriya 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.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 reflects my patient centered online learning portfolia.  45 yrs old male patient resident of miryalaguda came to the causality with the chief complaints of  * Seizures on 15th July night which is continuous till 16 th July 6 Am with few intervals  * Right shoulder dislocation during the seziures  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 25 yrs back .Then he started drinking alcohol of 90ml /day and from 10 yrs his alochol consumption is increased where he got sleep disturbances without alochol and craving for alcohol increase