MY eLOGS

                     I feel very fortunate for practicing the branch of my  choice where I get to see vast variety of   cases  on day to day basis.  Here I will be sharing few of my experiences during my junior  residency .   I have seen closely majority of cases during my first  year  o f residency.                    One of the mind blowing case was of Non Hodgkins  Lymphoma, the patient presented with fever of high  grade with  anorexia, he was almost worked up for 2 weeeks but we couldnt find  any conclusive  diagnosis. we ultimately labelled him as pyexia of  unknown origin. Then gradually after weeks of stay in  hospital patient started developing vague abdominal pain which  made us repeat his usg abdomen and  Erect X ray abdomen which  showed mediastinal lymphadenopathy. we trie...

  A 48 yr old male, farmer by occupation & resident of Nakrekal came to casualty with CHEIF COMPLAINTS: 1.Swelling in the right lower limb since 20 years    associated with pain  2.Fever since 1wk 3.Loose stools  since 4 days (4 episodes/day) HISTORY OF PRESENT ILLNESS  : Patient  was apparently asymptomatic 20years back then, he developed 1) SWELLING IN THE RIGHT  LOWER LIMB :    -Patient is a known case of filariasis with right leg swelling since 20    years which gets aggravated with rest and subsided with walking     intermittently also associated with fever spikes which gets relieved   with  medication - Patient had a trauma over right lower limb 4 days back, following      which patient noticed increased swelling over right leg  with           ulceration and pus discharge associated with pain of pricking type.   2) FEVER : - Low grade...

  A 60 years old female presented to the casualty with complaints of  fever associated with chills and abdominal pain. CHIEF COMPLAINTs ➤Fever for the past 6 days. ➤Pain abdomen for the past 3 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 6 days ago after which she developed high  grade fever associated with chills, insidious in onset, progressive, not subsiding  with medication, continuous type Pain abdomen , sudden in onset,  pricking type, in the epigastrium  and right  hypochondrium which gets aggravated on right lateral position and  relieved with  sitting posture, associated with nausea and reduced appetite, no  association with intake of fatty food No complaints of burning micturition. No complaints of cough, cold or shortness of breath. No complaints of heartburn or flatulence. No complaints of heamatemesis or maleana. No complaints of dysphagia. No complaints of  constipation or diarrhoea. No histor...