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65 F with AKI on CKD, Gastroenteritis,

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Patient came with complaints of fever since 1 week, burning micturition since 5 days, generalized weakness since 5 days,    loose stools and vomitings since 2 days. Patient was apparently asymptomatic 1 week ago then developed fever, high grade, associated with chills and rigor, relieved on medication, no diurnal variation. Burning micturition since 5 days, generalized weakness since 5 days, vomitings since 2 days, 3-4 episodes per day, non bilious, non projectile, non bloodstained, content is food particles. Loose stools since 2 days, watery, small volume non blood tinged.Loss of Appetite + H/o Multiple joint pains, LBA, knee pains, took nsaids outside. H/o on and off fever since 1 month, K/C/O CKD since 3 months on medication, K/C/O Hypertension since 5 years on regular medication. Swelling over left eyebrow due to fall from bed 1 week ago. Foley’s was inserted  Pedal edema absent Pallor -absent PERSONAL HISTORY APPETITE : LOST DIET: MIXED BOWELS AND BLADDER: REGULAR NO ADDICTIONS GE
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My Journey as an Intern In Medicine

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I am Sanjana Thota, Intern posted in the General Medicine Department from 1/12/23 until 31/1/24. “To cure sometimes, to relieve often, to comfort always.”- Edward Livingston Trudeau.  1) Self Reflection on my Medical Career: My first case taken in the manner if an e-log during my 2nd year Medicine Posting. https://sanjanathotarollno141.blogspot.com/2022/09/a-70-yr-old-female-with-involuntary.html?m=1 Through this process, I learned how to document the process of history taking, diagnosis, investigations and the treatment of a patient. During my internship, I came across cases such as DKA, Heart Failure, CKD, SLE, Septic Shock,CVA, Epilepsy and common chronic diseases such as Diabetes, Hypothyroidism and Hypertension. I witnessed an episode of GTCS and the acute management of such a case in the ICU. I also learned how to diagnose and further evaluate a case of MI / ACS.I learned about spinal cord lesions, how to perform a full CNS examination and how to localize a stroke. My journey in
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35/F DKA with vomitings, pain abdomen, non healing wound.

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This is an online E- log book 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 series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CONSENT AND DEIDENTIFICATION :   The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whomsoever. Patient came with complaints of vomitings since 4 days, pain and  burning sensation in epigastrium since 4 days,  Non healing wound over left foot since 3 months Patient was apparently asymptomatic 7 days back then developed vomitings su
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