129 Chandana Tallamraj

This is an elog that contains the de-identified health data of this patient which was collected after taking the patient's informed consent for the purpose of clinical discussion. HOPI Patient was apparently asymptomatic 5 months ago when he developed fatigue which was insidious in onset, gradually progressive and associated with mild shortness of breath, especially on prolonged exertion. Patient came to the OPD 4 days ago because of worsening of symptoms and limitation of daily activities. Patient also complains of severe pain in the heels of both legs on walking since one year. PAST HISTORY No history of diabetes mellitus, hypertension, tuberculosis, asthma, epilepsy or cardiovascular disease. No history of previous surgeries. FAMILY HISTORY No significant family history. PERSONAL HISTORY Diet: Mixed Appetite: Normal Sleep: Adequate Bladder: No urinary symptoms. Bowel movements: Normal Addictions: No addictions GENERAL EXAMINATION Patient was explained regarding the procedure of

 The patient's and his attender's consent was obtained, following which detailed history was taken and examination was performed. HOPI The patient was apparently asymptomatic one week ago when, the day after his wife's demise, he suddenly developed weakness in all four limbs. His right hand(dominant hand) showed some level of movement. However, he was unable to get out of bed or even brush his own teeth or feed himself. He was taken to a hospital in Nalgonda and from there, he was referred to this hospital. He also had reduced urine production around the same time. He had been caring for his sick wife for the past three months. Yesterday, he fell while using the washroom and sustained a minor injury to the head. There was some bleeding and he was immediately taken to the OPD and treated. PAST ILLNESS 15 years ago, he was found to have an abdominal mass which was benign but he refused surgery. Around the same time (15 years ago)  he underwent hernia surgery. He underwent cat

 

 The patient's and his attender's consent was obtained, following which detailed history was taken and examination was performed. HOPI The patient was apparently asymptomatic 14 days when she developed left flank pain and burning micturition around the same time. The patient was first taken to a local hospital and was later referred to this hospital. The pain in her left flank is a stabbing type of pain. Past History She underwent hysterectomy surgery 23 years ago as per medical advice. She suffered with menorrhagia and dysmenorrhea prior to the surgery. She suffered a road traffic accident 22 years ago. There is an internal fixator in her right lower limb(right leg). She has had diabetes and hypertension since 20 years and has been taking medicines for the same. (Cilnidipine 10 mg, Nifedipine)  No history of thyroid disease, cardiovascular disease, asthma, TB or epilepsy. Family history No significant family history.  Her husband had an angioplasty 4 years ago. Personal histor

 The patient's and his attender's consent was obtained, following which detailed history was taken and examination was performed. HOPI The patient was apparently asymptomatic two days ago when he developed pain and discomfort in the stomach while on a job (he is an electrician by profession) which was sudden in onset and quickly progressed to severe discomfort which was fluctuating between the chest and abdomen. He was climbing an electric pole when this episode of discomfort occurred. The discomfort was associated with anxiousness and mild shortness of breath. The pain was relieved on medication.  Patient recollects having similar complaints in the past 6 years. The episodes of "gas trouble" were often aggravated by certain foods (meat, eggs and tamarind) and consumption of alcohol along with reduced food consumption. He found relief after taking medicines like Pantop and Rabalkem.  The patient supposedly started consuming alcohol (90 ml/day) 3 months ago after absta