MEDICINE LOG BOOK - by SAI VITTAL Roll.no. 60

65 male watchman by occupation came with the chief complaints of  Abdominal pain since 5 days Patient was apparently asymptomatic 1 week back then developed Abdominal pain early morning after intake of food which was sudden onset , non progressive , sqeezing , dull aching , continuous , No Radiation,  aggravating with intake of food , relieved after some time after vomiting or on lying on right lateral position , not relieving on medication Vomitings 4 to 5 episodes associated with food particles , Non bilious , not associated with blood , Nausea is present , flatus is passed , passed stools 3 days back H/o Fever since 5 days , low grade associated with chills and rigors , relieved with medication,  no diurnal variation Pedal edema ( Grade 2 ) and facial puffiness is present since 1 month No h/o decreased urine output , SOB,  orthopnea , PND , chest pain , palpitations , syncopal attack PAST HISTORY  : H/o HTN since 3 years and on MET 50 mg / Amlo 5 mg No h/o DM , EPILEPSY , CVA , CAD

18 year old student came with the chief complaints of Fatigue since 1 month SOB on exertion and physical activity since 1 month ( Grade -3 ) She was unable to do work on exertion. H/o chest pain which was relieved at rest. Palpitations positive. Pedal edema Grade - 1 since 7 days , Facial puffiness since 7 days , Nausea & Vomitings since 3 days associated with food particles & not associated with blood.  No h/o Abdominal pain , pale colored stools,  blood in stools H/o Tingling since 20 days observed at rest , no tingling at regular work Age of menarche - 12 years , 3/30 , Normal flow , No clots Dietary history - H/o taking food twice a day mostly pickles , She consumes all vegetables ( not adequate ) , Less fruit intake PAST HISTORY - No DM , HTN , CAD , ASTHMA , TB FAMILY HISTORY - NAD PERSONAL HISTORY -  Appetite - Normal Diet - Mixed Bowel & Bladder - Regular Sleep - Adequate Addictions - None GENERAL EXAMINATION : Pallor - Present , Edema of feet - Present No Icterus ,