SHWETHA MUMMADI 87

  50/M FEVER COUGH WITH SPUTUM,UNCONTROLLED SUGARS June 08, 2023 This is an online E log book to discuss our patient  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 patients 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 comment box is welcome  CHIEF COMPLAINTS Patient came with chief complaint of cough since  7 Days,  Fever since 7 days, with difficulty in breathing since 7 days HOPI Fever since 7-days high grade-not associated with chills and rigor, evening rise + Associated with sweating Cough since 7- days associated with less amount of sputum, mucoid. blood tinged aggravated on changing position from lying down to sitting position, no reliving factors SOB g

  55/M Pyrexia under evaluation with cervical laminectomy 2 months back June 7, 2023   Chief complaints:   Patient came with cheif complaints of burning type of sensation of whole body since 1 week. Fever since 1 day HOPI:  Patient was apparently asymptomatic 2 months back after which he had an RTA during which he had cervical cord stenosis and was operated with cervical cord laminectomy i/v/o weakness of both upper and lower limbs. After which patient was on physiotherapy and power improved gradually.Now patient had h/o burning sensation and numbness of whole body( paresthesia). He also have complaints of fever since today afternoon associated with chills , relieved on medication. H/o of  burning micturition since 4-5 days  No H/o decreased sensations No h/o bowel and bladder incontinence. No h/o seizure activity No H/O cold, cough, sore throat No H/o nausea , vomiting, pain abdomen No H/o loose stools PAST HISTORY: Not a k/c/o dmII, htn, thyroid disorders ,asthma,epilepsy GENERAL EXA