Medicine

Hello everyone... I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties.  CASE- A 55 year old female came to the opd with the chief complaints of                                                                     1.palpitations (since 2months)                                                                     2.chest pain (since 2 months)                                                                     3.associated with shortness of breath HOPI- patient was apparently asympotamatic 2months back then she started having chest pain on left side more on epigastrium, non-radiating -associated with palpitations -and started developing shortness of breath, around the same time, progressive in nature leading to present status of grade III-IV of dyspnoea. -associated with PND (patient wakes up for air hunger) since 2 months

14/5/20 Hello everyone... I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties.  (the following case that i have presented has already been discussed by my fellow intern. you can check the same with the link provided at the end of presentation) CASE DISCUSSION- A 27 year male electrician by occupation presented to the OPD with the chief complaints of vomitings since 2days. HOPI- patient was apparently asymptomatic 4 days back then he started having decreased appetite following alcohol binge (local toddy) -Two days later he had an episode of seizures, after stopping alcohol. it was not associated with frothing, loss of consciousness, uprolling of eyeballs, involuntary bowel and bladder movements.  -h/o decreased responsiveness for which he was admitted in local hospital and treated as ?(DELIRIUM TREMENS) -Later the patient was brought to our ho