​E-LOG GENERAL MEDICINE

Hi, This is Kundana , a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them 


CHIEF COMPLAINTS

  • hypotension
  • altered sensorium
HISTORY OF PRESENTING ILLNESS 
 
  • 60 year old male brought to casuality on mechanical ventilation with history of vomitings and pain abdomen for 2 days 
  • on day 3 of postop he is diagnosed with delirium tremors 
  • he got discharged after 3 days
  • brought back to same hospital with complaints of altered sensorium with hypotension
  • reduced urine output
  • unable to maintain spo2 levels
DAILY ROUTINE


  • Wakes up at 4 am
  • 4am-8am farming and takes milk from cattle
  • 8am tea 
  • 8am -10 am farming
  • 10 am have some rice 
  • 10am-2pm  again rearing cattle
  • 2 pm eats rice in field 
  • 2pm-5pm he will do some farm work
  • 6pm he returns back to home along with cattle
  • 6pm-8pm he will be with his friends with alcohol and smoke
  • 8pm dinner 
  • 9pm sleep



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