A 36 year old man with fever and nausea since last 2 month

Pt. Botanical i.d.-albizia464chinensis01

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here summer 2016 after collecting informed patient consent (form downloadable here).

Pt. Voice history-

Age- 36/m
Occ.- labour
Add.-

vital signs
B.P.-110/80
Pulse- 74
R.r.-21

C/o-
Fever since 60 day,
Nausea during walking,
Dry mouth,headache

Past h/o-
Malaria -2 month ago
Typhoid - 45 day ago
Past dr. Notes

Personal h/o-
Nutrition- normal, bidhi smoking, alcohol,
Environment - village

Objective examination
Nails are normal
Abdominal normal
Skin normal
Posture normal
Gait normal

Present dr. Notes

Analysis
Pyrexia unknown origin (puo)..?

Planning
Current medication continue

A 40 year old man with chest pain and cough since 3 month

Botanical i.d.-aegle462marmelos01

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016 after collecting informed patient consent (form downloadable here).

Pt. Voice history-

Knowledge of pt.

Age -40/m
Occ- shopkeeper
Add.-

Vital signs
B.p.-110/90
Pulse- 74
Tem.- 98
R.r.- 21
C/o-
Chest pain since 3month during coughing

past medi. H/o-
Thyroid medi. Continue 1year( thyronorm 25 mg - early morning empty stomach.
Head injury -before 1year ago

Family h/o-
Paternal
Father- hypertension
Mother -  thyroid
Sister- thyroid
Maternal-no

Persnol h/o-
Nutritional - poor nutrition and pt. Is Intake tobacco and smoking everyday and alcohol two time in a month.
Environmental h/o- cloudy area.

Objective exami.
posture- normal

Nails normal

Skin normal
Gait normal
Heart regular rate and rthythm,
Abdomen- bowel sound normal

Analysis
lf. lung Pleural effusion,

Planing
pleural fluid rapping

Day one report of pleural fluid exami.-

A 19 year old boy suffering for foot swelling since 7 day

Pt botanical i.d. - ACACIA462RUGATA

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016after collecting informed patient consent (form downloadable here) by our patient-information-communication-executive from pin-code-area for a discussion
(Manage by arti jat )

Pt hisory according  to pt. Voice

Knowledge of pt.

Subjective examination
Age - 19 year /M
Occ - studeny
Add.- bhopal

C/O- lf. Limb swelling below the knee and Pain ,redness 7 day
 Vital signs -
pulse 70
B.p. 130/70
Tem.98.4
R.r.20

Personal h/o-
Nutrition- veg. No smoking, no alcohol, no tobacco,( before  2 month he was take more chilli but this time completely avoids)

Past medical history- stomach pain on birth - on off during 5-6 month,cause - stool problem, and constipation...
Treatment - all time  medications and admit for 10-12 day every 5-6 month

Family h/o -
on complications  For
Material and paternal

Psychosocial h/o-
Pt. Nature silent
Environment - live in  cloud area
Source of earing - _ _ _

Present dr. Notes

Objective examination
Posture - kyphosis
Gait normal
Finger - swa neck deformity
Nails  normal
Ankle swelling lf. Side and ankle jt. movement restriction

Pt. Images

Analysis
Cellutits


Planning
Medication-
iv Monocef
iv Pantop
Tab.pcm
- Magsulf dressing
Sleep with leg elevated

Past operative Dressing of wound.

Day one Wound swelling

day two swelling is reduce

A 70 year old man with fever since 2 month

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016after collecting informed patient consent (form downloadable here) by our patient-information-communication-executive from pin-code-area for a discussion

Patient  botanical i.d. - ACACIA464PENNATA

History according to pt.

Knowledge of pt.

Subjective examination
Age- 70/M
Occ.- lobar
Add.-
Vital signs -
B.P. 146/100
Pulse 76
R.r. 24
Temp. 98.4 f°

C/o -
Fever on off since 2 month during cold water bath
And increase frequency of micturition

Personal h/o-
nutrition -good nutrition
No Tobacco, no alcohol, tea- 2/day
Pt. Nature - normal

Past medical history- No any past medical history only continue  current problem treatment

Past clinical images-

Family history- no any medi. Complication

Environment h/o-
Living area -village
Source of earning - 300/ day

Present dr. Notes -

Objective examination 

Nails normal

Posture normal

Gait normal 

Ms.tone grading 4-5 

Joint rang of motion are also normal 

No pain present in the body

Breathing normal

Dygnosis-

Usg- prostata enlargement small renal cyst

Analysis 

Pyrexia,

Planning-

Medications -

Tab. Pcm 

Tab. aciloc 

Tab. Emset