Shruthi Arukonda 02

      GENERAL MEDICINE            SHRUTHI ARUKONDA 02 ( 3rd sem)          BIMONTHLY ASSIGNMENT- August  I have been given the following assignment in an attempt to read,  comprehend, analyze, reflect upon and discuss captured patient centered data This is the link of the questions asked regarding the cases: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 Below are my answers to the Medicine Assignment based on my comprehension of the cases. QUESTION ONE :  Long case:  The history taking was exceptionally good  The exacerbating factors were very well depicted  The details of his joint pains has been explained well.  The general and systemic examination were very explicit.  The various differential diagnosis approach was very depicted along with proper explanations .  Short case:  The history of present illness was taken down exceptionally well  All the alleviating and exacerbating factors were very well mentioned.  The personal history is v

  GENERAL MEDICINE.   28 July ,2021.  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.              CASE REPORT  A 37 year old male with chief complaints of passing hard stools since 8 months.  CHIEF COMPLAINTS:  Passing of hard stools since 8 months  HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic until 15 years back, then he had an episode of pain abdomen and constipation.  The patient visited the local hospital and his symptoms were relieved and was normal until next 5 years  In 2010, he suddenly developed stools with watery consistency and were black in colour, 2-3 episodes per day which lasted for 8-10 days  He had alterations in bowel moments  He had loose stools and constipation. Whenever he passes stools, there are streaks of blood in it (piles?)  No tenesmus, feeling of incomplete evacuation.  Consuming non veg food items and