SNEHA YERUKALA ROLL NO 149

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" Posted in Medicine department from 1/12/23 - 31/1/24 1/12/23 - 15/12/23 : Unit 16/12/23 - 31/12/23 : Peripherals 1/1/24 - 15/1/24 :Unit 16/1/24 - 31/1/24 : Psychiatry  1) Self reflective writing on their medical student career . I am an intern sneha yerukala 2018 in the medicine department. I have been working here for the past 2 months and I am here to share with you what I learned from this amazing experience. - First of all, I would like to thank my HOD and all the staff, Pgs , a

Patient came with C/o fever since 2 days  C/o breathlessness since yesterday HOPI :- patient was apparently asymptomatic 2 days back then he developed fever which is insidious in onset ,gradually progressive, continuous low grade with chills and rigors relieved with medication. Breathlessness since yesterday insidious in onset gradually progressive present even at rest , NYHA GRADE IV ,not relieved with rest , associated with cough with expectoration which is white in colour. No h/o pedal edema , abdominal distension. H/o decreased urine output and burning micturition. Past history:- Not a k/c/o DM,HTN,BRONCHIAL ASTHMA , THYROID AND SEIZURE DISORDERS K/c/o TB 8 years back used medication. General examination:- pt is C/C/C. Pallor + , no cyanosis, icterus, clubbing, lymphadenopathy, edema. Temp - 100.8F  Bp - 100/60mmhg Pr- 104 bpm Spo2 - 75 at RA at admission  Addictions :- alcoholic and tobacco chewer since 40 years. Systemic examination:- CVS - S1S2 heared, No murmurs. RS - NVBS CNS