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DISSERTATION

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KAMINENI INSTITUTE OF MEDICAL SCIENCES                            SREEPURAM                           NARKETPALLY                                                                   Department of GENERAL MEDICINE TOPIC: RESOLVING DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES AND IMPROVING OUTCOMES IN PATIENTS WITH POORLY   DIFFERENTIATED FEVER                       BY                          Dr.A.Nishitha                         Post graduate in general medicine department                         KAMINENI INSTITUTE OF MEDICAL SCIENCES                         KALOJI NARAYANA RAO UNIVERSITY OF Health sciences                          Warangal GUIDE:             DR. RAKESH BISWAS (MBBS MD GENERAL MEDICINE)            Prof and HOD OF GENERAL MEDICINE DEPARTMENT             KAMINENI INSTITUTE OF MEDICAL SCIENCES              NARKETPALLY   PROBLEM STATEMENT: 1.Diagnosing the cause of acute febrile illness in resource-limited settings is important—to give the correct antimicrobials to patients who
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30 yr old female with uncontrolled sugars

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A 30 yr old female patient sweeper in a fertiliser company by occupation brought to casualilty with fever and vomitings and hypersalivation. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors. HOPI: She had 5 episodes of vomitings for 2 days which contained food particles, non projectile and non foul smelling. She needed support for walking. Fever since 3 days, vomitings 5 episodes(12th & 13th June 2022), unable to walk since 2 days Negative history: no history of shortness of breath, cough, loose stools Past illness- known hypertensive since 2 years (using medication) NOT a known case of DM, asthma, tuberculosis, diabetes, asthma, epilepsy, CAD Personal History: Mixed diet Bowel And Bladder-Regular   Sleep Adequate  No Allergies And Addictions. Family History: not significant  General Examination:  Patient is Conscious,  Moderately Built and Nourished. Pallor Absent Icterus Absent Clubbing Absent Cyanosis Absent Lymphadenopathy
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70yr old with recurrent CVA

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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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box CASE: A 70 year old male patient was brought to casualty with c/o weakness of right upper and lower limbs and slurring of speech since 3 days HISTORY OF PRESENTING ILLNESS: => Patient was apparently asymptomatic 3 years back when he developed weakness of right upper and lower limbs and was managed conservatively => He had a second similar episode of weakness of right upper and lower limbs and slurring of speech one year back and w
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15yr old with pneumothorax

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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' 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. 15 yr old male who is a student came to medicine OPD with C/O left sided chest pain since 3 months HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 months ago then pain started which is *Dragging type of pain *Insidious in onset *Gradually progressive was treated in a private hospital in his hometown for which he was diagnosed as hydropneumothorax PAST HISTORY: *7yrs back Patient developed weakness and pain all over body for which he visited local hospital and was managed conservatively *4yrs back patient developed similiar complaints of pain all over body and was managed conservative
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