CHANDRAHAAS PATNALA ROLL NO 119

  C/O INVOUNTARY MOVEMENTS OF ALL FOUR LIMBS SINCE TODAY MORNING.   HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARETNLY ASYMPTOMATIC UNTIL TIDAY MORNING , THEN AT AROUND 10:30 AM , PATIENT HAD INVOLUNTARY MOVEMENTS OF ALL FOUR LIMBS , TONIC , CLONIC   TYPE LASTER FOR 5 MINUTES, 4 EPISODES , EACH LASTED FOR 2-5 MINUTES. NO LOSS OF CSNSCIOUSNESS IN BETWEEN EPISODES . POST ICTAL CONFUSION PRESENT. H/O UPROLLING OF EYES AND DROOLING OF SALIVA   . NO H/O TONGUE BITE. NO H/O INVLUNTARY PASSAGE OF URINE / STOOLS. PAST HISTORY: N/K/C/O DM , CVA, CAD, SEIZURES , ASTHMA K/C/O HTN SINCE 6-7 MONTHS , NOT ON ANY MEDICATION. PERSONAL HISTORY: DIET – MIXED SLEEP – ADEQUATE APPETITE – NORMAL BOWEL AND BLADDER – REGULAR NO KNOWN ALLERGIES NO HABITS OR ADDICTIONS GENERAL PHYSICAL EXAMINATION: PATIENT IS CONSCIOUS, COHERENT , AND COOPERATIVE NO PALLOR , ICTERUS , CYANOSIS, CLUBBING , LYMPHADENOPATHY , EDEMA VITALS: BP – 90/60 MMHG PR – 120 BPM RR – 28 CPM TEMPE

This is 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 patients 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 comment box is welcome CHIEF COMPLAINTS  C/O FEVER SINCE 10 DAYS C/O SOB SINCE 5 DAYS    HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN SHE DEVELOPED FEVER OF HIGH GRADE, ASSOCIATED WITH CHILLS AND RIGORS. CONTINUOUS, RELIEVED WITH MEDICATION, DIURNAL VARIATION PRESENT MORE DURING THE NIGHT. THEN SHE HAD INSIDIOUS ONSET OF SOB GRADE I PROGRESSED GRADUALLY TO GRADE IV. H/O PALPITATIONS H/O OCCASIONAL CHEST PAIN NO H/O PROFUSE SWEATING H/O COUGH - NON-PRODUCTIVE SINCE 5 DAYS