1st internal assessment

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55 yr old male

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 Date of admission :  A 55 year old male resident of Nalgonda presented to the causality with lower back ache and radiating pain to the left leg  since 3 weeks  HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic until 3 weeks ago after which he developed lower back ache which is sudden in onset, non progressive, aggravates on movement, relives on rest.  History of trauma (slip and fall from stairs) 3 weeks ago  The patient was taken to the local hospital where he was found to have L5 burst fracture on CT pelvis.  No history of lifting heavy weights, fever, burning micturition,  PAST HISTORY :  k/c/o DM T2 since last 30 years  K/c/o CAD since 2 years  N/k/c/o of HTN, epilepsy, TB, asthma.  History of  PCTA 2 years ago   TREATMENT HISTORY:  Tab. Metformin 500mg  Tab . Roglibose 0.2mg  Tab. glimidipine 2mg  PERSONAL HISTORY :  sleep : adequate  Bowel and bladder : regular...
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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 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.  Date of admission : 20 November 2021 INTRODUCTION  A  48 year old male who is farmer by occupation came to the OPD with the chief complaint of pain in the abdomen and bilateral pedal edema. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back when he developed depression and was addicted to alcohol.  He attempted suicide 9 years back by consuming poison due to depression, was brought to Kamineni and was treated. An year later he again attempted suicide by taking sleeping pills and he was taken to hospital and treated for that. 5 years back he had pain in the abdomen following...
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