77 Vaishnavi Manga

  E-LOG GENERAL MEDICINE Hi, This is Vaishnavi Manga, an eighth 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 45 YRS OLD WITH PARAPARESIS SECONDARY TO HYPOKALEMIA Chief complaints: Weakness of both upper and lower limbs since 4days HOPI : Patient was apparently asymptomatic 4 days ago then she developed weakness in both upper and lower limbs but she managed to do her daily activities at home. Then she could not manage to walk after she got up from bed in the morning and had a fall. Then she was headed to the hospital in ambulance.In ambulance her BP was 170/80mmHg so driver gave inj:LASIX HISTORY OF PAST ILLNESS: Not a k/c/o HTN,DM,epilepsy,asthma,CAD,TB,CVA,thyroid disorder. H/o:Bilateral renal calculi  H/o:TAH with bilateral salpingo

  E-LOG GENERAL MEDICINE Hi, This is Vaishnavi Manga, a eight 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 70 YRS OLD WITH CHRONIC RENAL FAILURE  Chief complaints: for dialysis  HOPI : Patient was apparently asymptomatic 8months ago then he developed difficulty in breathing and pedal edema. Then he was taken to hospital and was diagnosed with renal failure. HISTORY OF PAST ILLNESS: k/c/o:HTN-since 10yrs k/c/o: DM since 10 yrs PREVIOUS HISTORY: He was on dialysis for 10 times till date. TREATMENT HISTORY:  TAB.LASIX-40mg PO/BD TAB.NICARDIA-20mg PO/TID TAB.ARKAMINE-0.1mg PO/BD TAB.ECOSPIRIN-75/10 PO/OD TAB.NIDOSIS-50mg PO/BD TAB.OROFER-XT PO/BD INJ.EPO 4000V-SC weekly once INJ.HAI SC/TID Salt restriction-<2g per day Fluid restriction