Thursday 31 March 2016

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

Wednesday 30 March 2016

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