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GEN MED E-log-sept 03

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E-LOG GENERAL MEDICINE Hi, This is Vaishnavi Manga, a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 59 YRS OLD WITH ACUTE GASTROENTERITIS  Chief complaints: fever since one day associated with chills and rigour   also was suffering with loose stools since yesterday  HOPI : Patient was apparently asymptomatic 1day ago then he developed high grade fever which was associated with chills and rigours followed by several episodes of loose stools which were not blood stained and foul smelling in each episode, the stools produced are yellow in colour ,large volume and of watery consistency .he also had  5 episodes of vomiting since yesterday.  He was also discovered to be HIV positive in this hospital. There was no  history of blood tran

GEN MED E-log -sept 01

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  Hi, This is Vaishnavi Manga, a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 38 YRS OLD WITH VIRAL PYREXIA AND THROMBOCYTOPENIA  Chief complaints: Fever since 4days Nausea and vomiting since 4days  Headache since 3days  HISTORY OF PRESENTING ILLNESS:  The patient was apparently asymptomatic 4 days back and then he devloped: Fever with associated chills and rigors Retroorbital headache, vomiting which is non bilious immediately after intake of food ,vomitus contains food particles and non projectile for which he was admitted at area hospital No h/o of bleeding gums No h/o of hematemesis.                  No h/o of burning micturition No h/o of hematuria.    No h/o of malena   HISTORY OF PAST ILLNESS: N/k/o HTN,DM,TB,epilepsy,ast