SRIVATSA GONWAR ROLL NO 48

 Greetings to one and all, I am SRIVATSA GONWAR of FINAL YEAR MBBS(9th semester) at KAMINENI INSTITUTE OF MEDICAL SCIENCES, NARKETPALLY, INDIA. Growing up, the following lines have inspired me to make them the very motto of my professional career. They are: ‘Antar bahischa tatsarvam vyapya narayana sthitah’ (Narayana is present within and all around) As a part of Case Base Blended Learning Ecosystems and PaJR I got this opportunity of sharing my experience not only at this very beginning of my journey as a medical practitioner but for a life time. I strongly feel, this way of utilisation of technology by medical professionals will result in greater reach of healthcare and its standards, thereby making our nation "Swasth Bhaarat". CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUA

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  WEEK 2 OPD CASES(MAY 1- MAY 7) 1.Op no. 20230502323 A 26Y/F C/o Lower Back pain since 4 days, associated with B/L lower limb pain C/ o frontal Headache since 1 day  No h/O fever, giddiness, nausea, vomiting, burning micturition.  Advised Admission, patient not willing for admission. 2.Op no- 20230503366 60Y/F C/O neck pain since 1 month associated with headache and tingling sensation of both hands.  H/O lower back pain, dragging type, radiating to lower limbs and associated with tingling sensations. Sent for Orthopaedics referral 3.Op no 20230503413 67/F  C/O lower back pain radiating along right lower limb associated with h/o tingling sensation since 1 week  No h/o trauma. N/k/c/o DM, HTN.  Advised admission for further evaluation but patient not prepared and not willing for admission 4.Op no. 20230502323 A 26Y/F C/o Lower Back pain since 4 days, associated with B/L lower limb pain C/ o frontal Headache since 1 day  No h/O fever, giddiness, nausea, vomiting, burning micturition.  Ad

  62 year male pt presented with chief complaints of  -POLYURIA since 2 months  -BURNING MICTURITION since 2 months  -TINGLING AND BURNING SENSATION OF BOTH LIMBS since 2 months  -ITCHING all over the body since 2 months  -SWELLING OF B/L LOWER LIMBS since 1month -LOWER BACK ACHE since 10-15 days HISTORY OF PRESENTING ILLNESS- Pt was apparently asymptomatic 2 months back, then he developed  POLYURIA which was insidious in onset and gradually progressive, associated with burning micturition and frothy type of urine, Pt also complained of increased urine frequency at nights. He developed B/L SWELLING OF LOWER LIMBS, pitting type and extending upto the knee, aggravated on walking and relieved in lying down position  He developed LOWER BACK ACHE 10-15 days back, which was non radiating type ,without any tingling sensations and relieved on lying down. PAST HISTORY: Known case of DM type 2 since 2 years. Known case of HTN since 2 years. Not a known case of EPILEPSY, TB, ASTHMA, CVA, CAD and

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