SHAIK SAMEER ROLL NO 204

 PREFINAL PRACTICAL EXAM 45 year old Female, farmer by occupation came to medicine OPD with chief complaints of Fever since 5 days Loose stools 2 days back HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 5 days back   then she developed  low grade fever  which was insidious in onset and intermittent in nature associated with chills and rigor. Loose stools 2 days back ,4 episodes liquid in consistency ;not associated with blood. Weakness since 5 days. History of  dry cough since 4 days. No history of burning micturition. No history of pain abdomen. No history of intake of outside food. No history of pain abdomen. No history of vomiting. No history of toddy drinking. DAILY ROUTINE:- Patient wakes up at 7 AM and does her household work  and have breakfast around 9 AM and goes to work at agriculture land for  3 hrs and comes back between 12-1 PM and have lunch at 2PM, takes rest for the day. Patient have dinner at around 8PM and goes to sleep at 9PM.She takes rice with

 

 I'm SHAIK SAMEER, a under graduate medical student from Telangana, India. I m here to share my experience that i have learned in the past years under the guidence of my beloved professor of general medicine. 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 INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. MY FIRST PATIENT INTERACTION I FIRST INTERACTED WITH MY PATIENT IN THE AMC WARD. HE WAS SEVERELY DEHYDRATED AND WAS IN SEVERE PAIN.SO I WENT NEAR HIM AND ENQUIRED ABOUT HIS MEDICAL CONDITION. I HAVE TAKEN A DETAILED HISTORY FROM THE PATIENT TO FIND OUT THE EXACT CAUSE AND THE CONDITION HE IS FACING. FROM  THE HISTORY I GOT TO KNOW THAT H