Jancy koneti

 A 46 year old female who is a housewife and a resident of nalgonda came to the Hospital with chief complaints of shortness of breath, and cough since 5 days HISTORY OF PRESENTING ILLNESS- The patient was apparently asymptomatic 5 days back and then she developed shortness of breath which was insidious in onset, gradually progressive, aggravated on lying down and relieved on medication Associated with orthopnea, wheeze and paroxysmal nocturnal dyspnea cough with expectoration since 5 days  which was insidious in onset PAST HISTORY- Known case of COPD since 12 years and is on inhaler GENERAL EXAMINATION- raised JVP RESPIRATORY SYSTEM EXAMINATION - Inspection-normal Palpation-normal Auscultation-bilateral decreased breath sounds and bilateral rhonchi and crepitations present at infrascapular and infraaxillary areas CVS EXAMINATION- Inspection-normal Palpation- left parasternal heave palpable P2 apex beat at 5th intercostal space ,lateral to midclavicular line Auscultation - S1,S2 heard L

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.  65 year old female with fever , generalised abdominal pain and loose stools. A 65 yr old woman, from narketpally who is a house wife ,came to the hospital with chief complaints of fever with chills since 8 days and pain abdomen since 6 days, vomiting and loose stools since 6 days. *HISTORY OF PRESENT ILLNESS- The patient was apparently  asymptomatic one week back and then she developed Fever-which was sudden in onset, high grade, associated with chills and rigor, relieved on medication Lower abdominal pain-sudden in onset,continuous cramping like/dull aching and aggravated on food intake Vomiting-2-3 episodes /day,non-bilious,non-projectile,watery consistency Loose stools-multiple episodes in large volume, watery,non blood or mucous in stools History of burning micturition since 4 days-high coloured urine and no hematuria *PAST HISTORY