General medicine

 C/O chest pain since 3 months  History of presenting illness- Patient was apparently asymptomatic 3 months back he then complained of chest pain which was sudden in onset, stabbing type of pain, non radiating, aggravated by emotional stress and fear. No relieving factors.  Associated with shortness of breadth Not associated with sweating. Past history- H/O renal calculi since 10 years  N/k/C/O - DM, HTN, epilepsy, TB, asthma, CAD, CVD  No H/O - surgeries  Family history-  Not significant  Personal history-  Diet- mixed  Appetite- normal  Bowel and bladder movements- regular  Sleep- adequate  Addiction - occasional alcoholic - not addicted  Toddy weekly once  Vitals-  Temp- afebrile  Pulse rate - 94bpm  Respiratory rate- 16cpm  Blood pressure- 120/90 mm hg  General examination-  Patient consent was taken  Patient was conscious,coherent , cooperative  Moderately built, moderately nourished  No pallor  No icterus  No cyanosis  No clubbing  No lymphadenopathy  No edema

 Note: This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Sri Charan D (28)  CASE REPORT :  A 42 year old female patient working in a hotel , resident of Chityala, Nalgonda came to casuality with complaints of ear pain (left )for 15 days .  HISTORY OF PRESENT ILLNESSES: The patient was apparently asymptomatic 15 days ago , the patient developed c/o pain in the ears on 6th July .She is also suffering from Shortness of breath on climbing stairs and was having generalised weakness .  The patient previously visited a local physician with left ear pain and fluid discharge from ear and decreased hearing .  He was prescibed with antiallergics on 28 June 2022 . No c/o fever , cold and cough . PAST HISTORY :  Patient had  blood transfusion 5 years back . Used oral Iron for 1 year and stopped 5 years ago . Had chest pain 5 years ago . No past HTN , DM , tuberculosis, ast

 Note: This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. D .Sri Charan 28 Case report :  A 85 year old male  Cheif Complaint: Patient was apparently asymptomatic 1 month ago , the patient developed c/o pain in both sides of chest since 1 month with diminction of vision in left eye . He was apparently asymptomatic 3 years back and developed blebs in RT LL . F/B cellulitis . Then same thing happened for Lt.LL after 6 months then he developed HTN . Patient A/H/O slip and fall in bathroom .  C/O pain in the left groin Regoin  Difficulty to stand and bear weight over Lt.LL . He developed pain and sudden onset and progressive , continuous pain and aggregated pain with attempt to movement of LtLL  History of Present Illness : H/O use of analgesics Medication 8years back and got diagnosed with AkT 4 years back . Then stopped using Analgesics .  Skin Grafting for media