PLA BOOK PROJECT DRAFT OPD week-2

 Week-2

1st may 2023,Monday 

[01/05/23, 10:27:22 AM] ~ Dr. Meesum Abbas: Op no. 20230500392

36y/F with erosive gastritis and right maxillary sinusitis 

Getting admitted

[01/05/23, 10:29:46 AM] Rakesh Biswas Sir: Also mention the illness duration.

[01/05/23, 10:31:20 AM] ~ Dr. Meesum Abbas: Retrosternal pain 6 months and maxillary pain on bending forward since 2 years

[01/05/23, 10:39:01 AM] ~ Dr. Meesum Abbas: Op no. 20210518524

47y/F with dragging type of headache since 20 days associated with neck pain, decreased sleep and blurring of vision 

Not willing for admission

[01/05/23, 10:49:48 AM] ~ A.R.T.TEJASRI: 7) A 30 year old female chief complaints of neck pain since 1 month ,radiating to head  and bilateral upper limbs since 1 month ,no rom 

20210205620

? cervical spondylosis

[01/05/23, 10:50:28 AM] ~ A.R.T.TEJASRI: not willing to admit

[01/05/23, 10:58:08 AM] ~ Dr. Meesum Abbas: OP no. 20230500462

55y/F

C/o retrosternal Chest pain since 3 days, burning type, non radiating. 

Abdominal bloating +

? Atypical Chest pain

Patient not willing to get admitted

[01/05/23, 10:59:22 AM] Rakesh Biswas Sir: Get a fundus examination  

No other tests 

Ask her to get admitted later at her convenience for further evaluation

[01/05/23, 11:00:37 AM] Rakesh Biswas Sir: Tab paracetamol 500 mg every six hours for two days. 

No other tests now. 

Ask her to get admitted later at her convenience for further evaluation

[01/05/23, 11:01:54 AM] Rakesh Biswas Sir: Please CLEARLY mention that she has been advised admission for cardiac evaluation

[01/05/23, 11:02:29 AM] Rakesh Biswas Sir: Serial number 7?

[01/05/23, 11:07:22 AM] ~ Dr. Meesum Abbas: Op no. 20230500016

30 y/o F

C/o chest pain, burning type, radiating to right hand and back since 2 months

Pain aggravated on excessive talking and eating spicy food

Holocranial Headache since 2 months, non radiating, decreases with sleep

? APD

[01/05/23, 11:09:19 AM] ~ A.R.T.TEJASRI: OPD cases 

1)A 48 year old female came for followup diabetic since 10years ,hypertensive since 8 years , low back pain since 1month,no restriction of movements

2)A 47 YAER old female chief complaints of ankle edema since 2 years relieved on rest aggravated on prolonged sitting and facial puffiness since 2 days

presumptive : ?hypothyroidism , renal failure

b 3)a 44 year old male  for follow up  diabetic since 4 years using glimeperife and metformin 

4) a 62 F diabetic and hypertensive since 10 years complaints  increased frequency of micturition since 5 days ,no burning micturition  ,on metformin,glimi and telmisartan  .

 5)A 62 m known case of diabetic since 5 years on unknown medication came for followup .

[01/05/23, 11:09:45 AM] ~ A.R.T.TEJASRI: we missed their op number sir till 9:30 am

[01/05/23, 11:14:16 AM] Rakesh Biswas Sir: How many patients have we seen in opd since morning?

[01/05/23, 11:14:46 AM] ~ A.R.T.TEJASRI: 9  sir

[01/05/23, 11:18:19 AM] Rakesh Biswas Sir: How many shared above?

[01/05/23, 11:18:24 AM] ~ Rana Darshanam: OPD no: 20230500532

A 40 year old male patient with

C/O: B/L knee pain with swelling since 1 week followed by pain in 

B/L calf region associated with tightness and B/L pedal edema till knees (pitting type) associated with facial puffiness

Advised admission and getting admitted

[01/05/23, 11:19:26 AM] ~ A.R.T.TEJASRI: from opd 1 sir.

[01/05/23, 11:28:23 AM] Rakesh Biswas Sir: Write in short 

40M knee pain swelling, edema 1 week

[01/05/23, 11:29:11 AM] ~ A.R.T.TEJASRI: 8)op no: 20230521078

A 51 year male tingling and numbness sensation of bilateral feet and hands since 10 days and generalized weakness since 10 days

no h/o nocturia,polyuria, polydypsia ,burning micturition

visceral fat present ,no pallor

presumptive diagnosis: peripheral neuropathy ( diabetic , b12 def?)

[01/05/23, 11:29:23 AM] Rakesh Biswas Sir: Diabetes since ?

[01/05/23, 11:30:32 AM] Rakesh Biswas Sir: Write in short :

51M neuropathic pain 10.days diabetes (duration)

[01/05/23, 11:33:12 AM] ~ A.R.T.TEJASRI: 8)op no: 20230521078

A 51M neuropathic pain since 10 days.

 nondiabetic ,checked 2 years ago .

[01/05/23, 11:34:36 AM] ~ Rana Darshanam: OP.No:20230500529

A 50 M

C/O: Headache, neck pain associated with giddiness since 1 year

[01/05/23, 11:40:41 AM] ~ A.R.T.TEJASRI: opno :20230500526

A 40 F , diabetic since 5 years with LUTI also came for followup for diabetes

[01/05/23, 11:40:58 AM] ~ Rana Darshanam: A 55M 

C/O chest pain, retrosternal, burning type,non radiating associated with belchings, not associated with SOB, palpitations, sweatings since 1 week

[01/05/23, 11:42:44 AM] Rakesh Biswas Sir: Please CLEARLY mention in the opd slip that he has been advised admission for cardiac evaluation

[01/05/23, 11:44:08 AM] Rakesh Biswas Sir: Please add up the above numbers and provide an idea of how many patients have been seen from 9:00 AM till now

[01/05/23, 11:46:10 AM] ~ Rana Darshanam: OP.No: 20210220648

A  57 F

C/O: Dragging type of pain in left upper limb, radiating from left shoulder joint to left hand

associated with tingling sensation and numbness since 5-6 months

[01/05/23, 11:48:18 AM] ~ A.R.T.TEJASRI: OP no :2023050053

60 F with tension type of headache since 6 months

[01/05/23, 11:51:00 AM] ~ A.R.T.TEJASRI: advised  hba1c and cue.

[01/05/23, 11:52:31 AM] Rakesh Biswas Sir: No testing! 

Ask her to get admitted asap 

Otherwise ask her to come later at her convenience 

Was she admitted earlier? Where's her case report and PaJR link?

[01/05/23, 11:56:51 AM] ~ A.R.T.TEJASRI: op no: 20210520423

39 F , patient came for follow up ,patient is on rosuvastatin with high triglycerides 384, patient wants fasting lipid profile to check her triglycerides and ldl cholesterol

[01/05/23, 11:57:05 AM] ~ A.R.T.TEJASRI: ok sir..not admitted

17 F primary immunodeficiency disorder with nystagmus and B/l optic nerve atrophy is coming to opd for MRI Brain. 

Spoke to venkat sir and asked her to shift for MRI after an hour.

[01/05/23, 11:59:57 AM] Rakesh Biswas Sir: Does she have a PaJR group? Get her admitted overnight to probe her details of why and what of her triglycerides. Pancreatitis in the past?

[01/05/23, 12:00:34 PM] Rakesh Biswas Sir: Ask her to get admitted asap

[01/05/23, 12:03:04 PM] Rakesh Biswas Sir: Logged till now since morning

Please check the numbers. Looks like 20 although I'm sure we saw more than 30 till now 

Share an image of the sister's register after covering the names but showing the opd numbers 

[5/1, 10:27 AM]: Op no. 20230500392

36y/F with erosive gastritis and right maxillary sinusitis 

Getting admitted

Retrosternal pain 6 months and maxillary pain on bending forward since 2 years

[5/1, 10:39 AM]: Op no. 20210518524

47y/F with dragging type of headache since 20 days associated with neck pain, decreased sleep and blurring of vision 

Not willing for admission

[5/1, 10:49 AM] 7) A 30 year old female chief complaints of neck pain since 1 month ,radiating to head  and bilateral upper limbs since 1 month ,no rom 

20210205620

? cervical spondylosis

[5/1, 10:50 AM] : not willing to admit

[5/1, 10:58 AM]: OP no. 20230500462

55y/F

C/o retrosternal Chest pain since 3 days, burning type, non radiating. 

Abdominal bloating +

? Atypical Chest pain

Patient not willing to get admitted

[5/1, 11:07 AM]: Op no. 20230500016

30 y/o F

C/o chest pain, burning type, radiating to right hand and back since 2 months

Pain aggravated on excessive talking and eating spicy food

Holocranial Headache since 2 months, non radiating, decreases with sleep

? APD

[5/1, 11:09 AM]: OPD cases 

1)A 48 year old female came for followup diabetic since 10years ,hypertensive since 8 years , low back pain since 1month,no restriction of movements

2)A 47 YAER old female chief complaints of ankle edema since 2 years relieved on rest aggravated on prolonged sitting and facial puffiness since 2 days

presumptive : ?hypothyroidism , renal failure

3)a 44 year old male  for follow up  diabetic since 4 years using glimeperife and metformin 

4) a 62 F diabetic and hypertensive since 10 years complaints  increased frequency of micturition since 5 days ,no burning micturition  ,on metformin,glimi and telmisartan  .

 5)A 62 m known case of diabetic since 5 years on unknown medication came for followup .

[5/1, 11:18 AM] : OPD no: 20230500532

A 40 year old male patient with

C/O: B/L knee pain with swelling since 1 week followed by pain in 

B/L calf region associated with tightness and B/L pedal edema till knees (pitting type) associated with facial puffiness

Advised admission and getting admitted

[5/1, 11:28 AM] Rakesh Biswas: Write in short 

40M knee pain swelling, edema 1 week

[5/1, 11:29 AM] 8)op no: 20230521078

A 51 year male tingling and numbness sensation of bilateral feet and hands since 10 days and generalized weakness since 10 days

no h/o nocturia,polyuria, polydypsia ,burning micturition

visceral fat present ,no pallor

presumptive diagnosis: peripheral neuropathy ( diabetic , b12 def?)

[5/1, 11:30 AM] Rakesh Biswas: Write in short :

51M neuropathic pain 10.days diabetes (duration)

[5/1, 11:33 AM]: 8)op no: 20230521078

A 51M neuropathic pain since 10 days.

 nondiabetic ,checked 2 years ago .

[5/1, 11:34 AM]: OP.No:20230500529

A 50 M

C/O: Headache, neck pain associated with giddiness since 1 year

[5/1, 11:40 AM] : opno :20230500526

A 40 F , diabetic since 5 years with LUTI also came for followup for diabetes

[5/1, 11:40 AM] : A 55M 

C/O chest pain, retrosternal, burning type,non radiating associated with belchings, not associated with SOB, palpitations, sweatings since 1 week

[5/1, 11:46 AM] : OP.No: 20210220648

A  57 F

C/O: Dragging type of pain in left upper limb, radiating from left shoulder joint to left hand

associated with tingling sensation and numbness since 5-6 months

[5/1, 11:48 AM]: OP no :2023050053

60 F with tension type of headache since 6 months

[01/05/23, 12:05:17 PM] ~ Rana Darshanam: OP.No: 20210212730

A 41 M

C/O: Pricking sensation in B/L hands and legs since 10 days

[01/05/23, 12:06:10 PM] ~ A.R.T.TEJASRI: op no: 72 year male 

hypertensive since 28 years on amlokind- AT, c/k/o asthma ,( salbutamol 100micrograms)came for regular followup.

[01/05/23, 12:07:42 PM] Rakesh Biswas Sir: Such acute pains can be given paracetamol six hourly for two days if they are unwilling to get admitted but no testing unless indicated by clinical examination. 

Any testing without admission if absolutely needed please text share here first

[01/05/23, 12:09:32 PM] Rakesh Biswas Sir: Only 23 fresh + 6 review +5 (miscell) seen since morning?

[01/05/23, 12:09:33 PM] ~ A.R.T.TEJASRI: op no:20230500933

 72 year male 

hypertensive since 28 years on amlokind- AT, c/k/o asthma ,( salbutamol 100micrograms)came for regular followup.

not willing to admit

[01/05/23, 12:10:41 PM] ~ Dr. Meesum Abbas: 17 review cases sir

[01/05/23, 12:10:49 PM] Rakesh Biswas Sir: Continue his meds and ask him to come for his PaJR link at his convenience or take his number and share it with the UGs who can prepare it telephonically

[01/05/23, 12:11:29 PM] Rakesh Biswas Sir: Total 23+17 till now ?

How many shared above?

[01/05/23, 12:22:39 PM] ~ saicharankulkarni: Okay sir. 

28F non diabetic and hypertensive with CKD relative of patient advocate who is biochem technician coming to opd for admission and evaluation. Please admit her.

[01/05/23, 12:30:13 PM] ~ Rana Darshanam: OP.No: 20210307293

A 17 F 

C/O: followup C/O autoimmune hemolytic anemia

? Common variable immunodeficiency syndrome with recurrent RTI's

No new complaints

[01/05/23, 12:32:59 PM] ~ Rana Darshanam: OP.No: 20230501038

A 50 F 

C/O: Pain in abdomen (burning type) in umbilical region associated with nausea and indigestion +

[01/05/23, 12:46:23 PM] ~ Rana Darshanam: OP.No: 20230501481

A 70 F 

C/O: B/L lower limb edema, progressive from ankle to mid leg region since 20 days

[01/05/23, 12:51:53 PM] ~ A.R.T.TEJASRI: A 29 year old male with  tingling sensation of right index finger since 8days

  ?right median nerve compression.

advised tab .neurokind and gabapentin for 7 days

[01/05/23, 12:52:13 PM] ~ Dr. Meesum Abbas: Op no. 20230501031

A  35 F

C/O left sided chest pain since 1 month, non radiating, palpitations +

Admission advised but refused

[01/05/23, 12:53:09 PM] ~ A.R.T.TEJASRI: op no: 2023500521 

A 29 year old male with  tingling sensation of right index finger since 8days

  ?right median nerve compression.

advised tab .neurokind and gabapentin for 7 days

[01/05/23, 12:57:07 PM] ~ A.R.T.TEJASRI: op no: 20230501458 

chest pain radiating to left upperlimb , jaw and back , intermittent in nature ,draggjng type of pain since 2days , aggravated on activity.

no palpitations and sob

hypertensive since 3 years

H/o bloating and belcing sensation

diagnosis: ? ANGINA ? Acid peptic disease

not will to admit

[01/05/23, 1:07:53 PM] ~ A.R.T.TEJASRI: 20210112960 

A 26F 

patient came 10days ago withchief complaimts of fever (highgrade ) with chills and rigors with cough with muclid sputum associated with sob

h/o using iv antibiotics for 4days ( crp-2.4 mg/dl),it relieved, patient wants to get crp

[01/05/23, 1:17:01 PM] ~ A.R.T.TEJASRI: 20230436909 A72M

clinical case of liver abcess, for 1month , came for follow up, previous usg (20% liquefaction).

[01/05/23, 2:26:21 PM] Rakesh Biswas Sir:What were her recent complaints?

[01/05/23, 2:29:54 PM] Rakesh Biswas Sir: Age gender? 

Please CLEARLY mention in the opd slip that he has been advised admission for cardiac evaluation

[01/05/23, 2:30:20 PM] Rakesh Biswas Sir: Repeat

[01/05/23, 2:31:17 PM] Rakesh Biswas Sir: No testing!! 

Admitted?

[01/05/23, 2:32:02 PM] Rakesh Biswas Sir: Admit

[01/05/23, 2:32:48 PM] Rakesh Biswas Sir: Please CLEARLY mention in the opd slip that 'she has been advised admission for cardiac evaluation 

[01/05/23, 2:35:49 PM] ~ A.R.T.TEJASRI: 20230501029

37yr old male ,  driver by occupation, complaining of  left shoulder pain since 2 months , intermittent in nature,aggravated on movement

o/e of left  shoulder  pain on internal rotation and adduction ,no joint line  tenderness, rom of not restricted

H/o joint pains in pip ,elbow intermittent in nature aggravated on work,  using etoricoxib for it since 6 months

o/e no swelling ,no tenderness, rom not restricted.

not willing to admit

[01/05/23, 2:37:40 PM] ~ A.R.T.TEJASRI: op no: 20230501458 

32 F chest pain radiating to left upperlimb , jaw and back , intermittent in nature ,draggjng type of pain since 2days , aggravated on activity.

no palpitations and sob

hypertensive since 3 years

H/o bloating and belching sensation

diagnosis: ? ANGINA ? Acid peptic disease

not will to admit

[01/05/23, 2:38:38 PM] ~ A.R.T.TEJASRI: not willing to admit sir.

[01/05/23, 2:38:52 PM] ~ Rana Darshanam: OP.No:20210513632

A 32 M

C/O: generalized body pain H/O increased on physical activity since 1week

[01/05/23, 2:47:51 PM] Rakesh Biswas Sir: This patient is being presented thrice!! 

[01/05/23, 2:48:34 PM] Rakesh Biswas Sir: 👆

[01/05/23, 2:56:59 PM] ~ A.R.T.TEJASRI: OP NO:20230501540

60 M

c/o bilateral pedal edema since 1 month , intermittent 

c/o decreased urinary output

c/o burning micturition  , fever ( low grade)since 20 days

not willing to admit sir

[01/05/23, 2:57:58 PM] Rakesh Biswas Sir:  Are you ensuring that no one is getting tested unnecessarily?

[01/05/23, 2:59:03 PM] ~ Rana Darshanam: OP.No: 20230501495

A 65 M

C/O: Decreased speech since 3 days not associated without any weakness of upper and lower limbs H/O RTA

[01/05/23, 3:01:56 PM] ~ saicharankulkarni: Asymptomatic nystagmus sir, with b/l optic nerve atrophy sir came for MRI and admission.

[01/05/23, 3:06:50 PM] ~ Rana Darshanam: OP.No:20230500463 

A 28 M

C/O:Fever since 15 days not associated with chills and rigor,low grade,no diurnal variation

[01/05/23, 3:11:30 PM] ~ Rana Darshanam: OP.No:20210415001

A 33 F

C/O: left sided chest pain since afternoon non radiating, pricking type 

not associated with local tenderness, sweating,palpitations,SOB, syncopal attacks

[01/05/23, 3:20:05 PM] ~ A.R.T.TEJASRI: op no: 20230501484

26 M

low back pain since 4 days following trauma aggravated on climbing steps

no swelling no tenderness.

advised ultracet for pain relief.

[01/05/23, 3:22:24 PM] ~ Rana Darshanam: OP.No:20210510503

A 33 F

C/O: Headache with neck pain since 5 months,not associated with photophobia, phonophobia,nausea,vomiting,lacrimation

[01/05/23, 3:44:26 PM] ~ Rana Darshanam: OP.No:20230500969

A 24 F

C/O: Multiple joint pains since 2 months,

right elbow and shoulder since 1 month, right wrist pain since 15 days

No H/O fever

[01/05/23, 4:08:59 PM] Rakesh Biswas Sir: Fundus image?

[01/05/23, 4:10:40 PM] ~ Rana Darshanam: OP.No:20230501565

A 55 F

C/O: left sided chest pain since 2 months, localised pin point pain,non radiating

H/O RTA 2 months 

O/e tenderness present on 3rd rib

[01/05/23, 4:12:10 PM] Rakesh Biswas Sir: Total the number of cases seen and the number admitted asap. Share the numbers in the OP register

[01/05/23, 4:12:55 PM] Rakesh Biswas Sir: Mention admission status for every case with reason for non admission

[01/05/23, 9:33:48 PM] Rakesh Biswas Sir: 👆

[01/05/23, 10:19:49 PM] ~ ✍🏼: 4 admissions sir

[01/05/23, 10:21:18 PM] ~ Nishi: 5 patients have been admitted sir but one patient absconded sir

[01/05/23, 10:21:46 PM] Ankit 18: Total 40 patients have been seen sir and 5 admitted , but 1 patient absconded mid day sir

[01/05/23, 10:46:15 PM] Rakesh Biswas Sir: Please provide the above list of seen patients in one text message with their serial numbers today and everyday

[01/05/23, 11:03:42 PM] Rakesh Biswas Sir: May 1 opd  Total 41 patients have been seen and 5 admitted , but 1 patient absconded mid day 

1) 5/1, 10:27 AM] : Op no. 20230500392

36y/F with erosive gastritis and right maxillary sinusitis 

Getting admitted

Retrosternal pain 6 months and maxillary pain on bending forward since 2 years

2)(5/1, 10:39 AM] : Op no. 20210518524

47y/F with dragging type of headache since 20 days associated with neck pain, decreased sleep and blurring of vision 

Not willing for admission

3)[5/1, 10:49 AM]: 7) A 30 year old female chief complaints of neck pain since 1 month ,radiating to head  and bilateral upper limbs since 1 month ,no rom 

20210205620

? cervical spondylosis

[5/1, 10:50 AM] : not willing to admit

4) [5/1, 10:58 AM] : OP no. 20230500462

55y/F

C/o retrosternal Chest pain since 3 days, burning type, non radiating. 

Abdominal bloating +

? Atypical Chest pain

Patient not willing to get admitted

5) [5/1, 11:07 AM] : Op no. 20230500016

30 y/o F

C/o chest pain, burning type, radiating to right hand and back since 2 months

Pain aggravated on excessive talking and eating spicy food

Holocranial Headache since 2 months, non radiating, decreases with sleep

? APD

6) [5/1, 11:09 AM] : 

A 48 year old female came for followup diabetic since 10years ,hypertensive since 8 years , low back pain since 1month,no restriction of movements

7)A 47 YAER old female chief complaints of ankle edema since 2 years relieved on rest aggravated on prolonged sitting and facial puffiness since 2 days

presumptive : ?hypothyroidism , renal failure

8)a 44 year old male  for follow up  diabetic since 4 years using glimeperife and metformin 

9) a 62 F diabetic and hypertensive since 10 years complaints  increased frequency of micturition since 5 days ,no burning micturition  ,on metformin,glimi and telmisartan  .

 10)A 62 m known case of diabetic since 5 years on unknown medication came for followup .

11) [5/1, 11:18 AM] : OPD no: 20230500532

A 40 year old male patient with

C/O: B/L knee pain with swelling since 1 week followed by pain in 

B/L calf region associated with tightness and B/L pedal edema till knees (pitting type) associated with facial puffiness

Advised admission and getting admitted

[5/1, 11:28 AM] Rakesh Biswas: Write in short 

40M knee pain swelling, edema 1 week

12) [5/1, 11:29 AM] : 8)op no: 20230521078

A 51 year male tingling and numbness sensation of bilateral feet and hands since 10 days and generalized weakness since 10 days

no h/o nocturia,polyuria, polydypsia ,burning micturition

visceral fat present ,no pallor

presumptive diagnosis: peripheral neuropathy ( diabetic , b12 def?)

[5/1, 11:30 AM] Rakesh Biswas: Write in short :

51M neuropathic pain 10.days diabetes (duration)

[5/1, 11:33 AM]: 8)op no: 20230521078

A 51M neuropathic pain since 10 days.

 nondiabetic ,checked 2 years ago .

13) [5/1, 11:34 AM] : OP.No:20230500529

A 50 M

C/O: Headache, neck pain associated with giddiness since 1 year

14) [5/1, 11:40 AM] : opno :20230500526

A 40 F , diabetic since 5 years with LUTI also came for followup for diabetes

15) [5/1, 11:40 AM] : A 55M 

C/O chest pain, retrosternal, burning type,non radiating associated with belchings, not associated with SOB, palpitations, sweatings since 1 week

16) [5/1, 11:46 AM] : OP.No: 20210220648

A  57 F

C/O: Dragging type of pain in left upper limb, radiating from left shoulder joint to left hand

associated with tingling sensation and numbness since 5-6 months

17) [5/1, 11:48 AM] : OP no :2023050053

60 F with tension type of headache since 6 months

18) [5/1, 12:05 PM]: OP.No: 20210212730

A 41 M

C/O: Pricking sensation in B/L hands and legs since 10 days

19) [5/1, 12:06 PM]: op no: 72 year male 

hypertensive since 28 years on amlokind- AT, c/k/o asthma ,( salbutamol 100micrograms)came for regular followup.

20) [5/1, 12:09 PM] : op no:20230500933

 72 year male 

hypertensive since 28 years on amlokind- AT, c/k/o asthma ,( salbutamol 100micrograms)came for regular followup.

not willing to admit

21) [5/1, 12:22 PM] Sai Charan Kulakarni Kims Med: 

28F non diabetic and hypertensive with CKD relative of patient advocate ( https://sravanivv180.blogspot.com/2022/02/cbble-udhc-similar-cases-case-of-m-with.html )who is biochem technician coming to opd for admission and evaluation. Please admit her.

22) [5/1, 12:30 PM]: OP.No: 20210307293

A 17 F 

C/O: followup C/O autoimmune hemolytic anemia

? Common variable immunodeficiency syndrome with recurrent RTI's

No new complaints

23) [5/1, 12:32 PM] : OP.No: 20230501038

A 50 F 

C/O: Pain in abdomen (burning type) in umbilical region associated with nausea and indigestion +

24) [5/1, 12:46 PM]: OP.No: 20230501481

A 70 F 

C/O: B/L lower limb edema, progressive from ankle to mid leg region since 20 days

25) [5/1, 12:51 PM] : A 29 year old male with  tingling sensation of right index finger since 8days

  ?right median nerve compression.

advised tab .neurokind and gabapentin for 7 days

26) [5/1, 12:52 PM]: Op no. 20230501031

A  35 F

C/O left sided chest pain since 1 month, non radiating, palpitations +

Admission advised but refused

27) [5/1, 12:53 PM]: op no: 2023500521 

A 29 year old male with  tingling sensation of right index finger since 8days

  ?right median nerve compression.

advised tab .neurokind and gabapentin for 7 days

28) [5/1, 12:57 PM] : op no: 20230501458 

chest pain radiating to left upperlimb , jaw and back , intermittent in nature ,draggjng type of pain since 2days , aggravated on activity.

no palpitations and sob

hypertensive since 3 years

H/o bloating and belcing sensation

diagnosis: ? ANGINA ? Acid peptic disease

not will to admit

29) [5/1, 1:07 PM]OP: 20210112960 

A 26F 

patient came 10days ago withchief complaimts of fever (highgrade ) with chills and rigors with cough with muclid sputum associated with sob

h/o using iv antibiotics for 4days ( crp-2.4 mg/dl),it relieved, patient wants to get crp

30) 5/1, 1:17 PM] OP: 20230436909 A72M

clinical case of liver abcess, for 1month , came for follow up, previous usg (20% liquefaction).

31) 5/1, 2:35 PM] Op: 20230501029

37yr old male ,  driver by occupation, complaining of  left shoulder pain since 2 months , intermittent in nature,aggravated on movement

o/e of left  shoulder  pain on internal rotation and adduction ,no joint line  tenderness, rom of not restricted

H/o joint pains in pip ,elbow intermittent in nature aggravated on work,  using etoricoxib for it since 6 months

o/e no swelling ,no tenderness, rom not restricted.

not willing to admit

32) 5/1, 2:37 PM]: op no: 20230501458 

32 F chest pain radiating to left upperlimb , jaw and back , intermittent in nature ,draggjng type of pain since 2days , aggravated on activity.

no palpitations and sob

hypertensive since 3 years

H/o bloating and belching sensation

diagnosis: ? ANGINA ? Acid peptic disease

not will to admit

33) [5/1, 2:38 PM]: OP.No:20210513632

A 32 M

C/O: generalized body pain H/O increased on physical activity since 1week

34) 5/1, 2:56 PM]: OP NO:20230501540

60 M

c/o bilateral pedal edema since 1 month , intermittent 

c/o decreased urinary output

c/o burning micturition  , fever ( low grade)since 20 days

not willing to admit sir

35) 5/1, 2:59 PM]: OP.No: 20230501495

A 65 M

C/O: Decreased speech since 3 days not associated without any weakness of upper and lower limbs H/O RTA

36) 

[5/1, 3:06 PM] : OP.No:20230500463 

A 28 M

C/O:Fever since 15 days not associated with chills and rigor,low grade,no diurnal variation

37) 5/1, 3:11 PM] : OP.No:20210415001

A 33 F

C/O: left sided chest pain since afternoon non radiating, pricking type 

not associated with local tenderness, sweating,palpitations,SOB, syncopal attacks

38) 5/1, 3:20 PM] : op no: 20230501484

26 M

low back pain since 4 days following trauma aggravated on climbing steps

no swelling no tenderness.

advised ultracet for pain relief.

39) 5/1, 3:22 PM: OP.No:20210510503

A 33 F

C/O: Headache with neck pain since 5 months,not associated with photophobia, phonophobia,nausea,vomiting,lacrimation

40) 5/1, 3:44 PM]: OP.No:20230500969

A 24 F

C/O: Multiple joint pains since 2 months,

right elbow and shoulder since 1 month, right wrist pain since 15 days

No H/O fever

41)5/1, 4:10 PM] : OP.No:20230501565

A 55 F

C/O: left sided chest pain since 2 months, localised pin point pain,non radiating

H/O RTA 2 months 

O/e tenderness present on 3rd rib

[5/1, 10:21 PM]: Total 41 patients have been seen sir and 5 admitted , but 1 patient absconded mid day sir

2nd May,2023,Tuesday 

[02/05/23, 8:52:15 AM] Rakesh Biswas Sir: can you spot which OPD patient here does the PaJR below belong to? 

Project: 10 years of right knee pain 37F

[5/2, 8:39 AM] Rakesh Biswas: Right knee is not visible. Just focus on the knee and zoom onto the area of pain with a pointer

[5/2, 8:41 AM] Rakesh Biswas: Yesterday's opd admission?

[5/2, 8:42 AM]: Yes sir

[02/05/23, 9:21:23 AM] Rakesh Biswas Sir: 👆Also can you spot this IP patient PaJRed below among the opd patients listed here? 

Project : Admitting 'so called routine" opd patients" with diabetes, hypertension and other NCDs for PaJR testing and therapy 

[5/2, 9:10 AM] Navya KIMs Pg 2022: 30Male

No complains came for regular checkup 

Complains of Backpain occasionally aggreviated on lifting weights 

Complains of tingling sensation in bilateral hands and feet occasionally

Complains of sob grade 2 MMRC aggreviated on exertion

Known case of HTN DM Hypothyroidism since 4 years 

On tab metformin 500mg po/BD( three years ago due to high sugars he was on insulin for 20days and changed to ohas)

On tab telmasartan and metprolol 40/25mg po/Od

Used medications for hypothyroidism for two months and stopped

On examination

Pt is c/c/c

BP 130/90mmhg

PR 80bpm

RR 17cpm

GRBS 511mg/dl

CNS : sensory normal 

Tone normal  power 5/5 in all limbs

CVS s1s2 present no murmur

RS bilateral air entry present

P/A soft NT

CNS NFND

[5/2, 9:15 AM] Rakesh Biswas: The detailed history needs to start from 4 years back 

Why did he visit the doctor at that time?

How about sharing his images of visceral fat and muscle mass?

[02/05/23, 9:25:29 AM] Rakesh Biswas Sir:Who are the SRs, JRs and interns responsible for sharing the opd workflow today.

[02/05/23, 9:34:00 AM] ~ Navya Lakkakula:

Kiran 

[02/05/23, 9:34:01 AM] ~ Rachana Gangula: 2/5/23 Serial no 1 

Op no. 20210114454

A 67Y F

Came for regular checkup 

K/C/o DM since 10 years on regular medication T.Metformin 500mg PO/OD 

K/C/o HTN since 10 years on regular medication T.ATENOLOL 50mg PO/OD 

K/C/o hypercholestolemia since 4 years (using unknown medication)

[02/05/23, 9:39:35 AM] Rakesh Biswas Sir: Only two interns? 

Yesterday there were three who barely managed the entire list of patients? Also why again today in opd ?

[02/05/23, 9:41:50 AM] Rakesh Biswas Sir: No testing to be done for any patient without admission. Who's the senior Resident today in the opd? Who are the second year PGs?

[02/05/23, 9:42:13 AM] ~ Dr. Meesum Abbas: Pre op interns have been posted today sir

[02/05/23, 9:42:55 AM] ~ Dr.Abhi: Sir I’m the SR in opd sir

[02/05/23, 9:43:23 AM] ~ Navya Lakkakula: Narshimha sir

[02/05/23, 9:46:24 AM] Rakesh Biswas Sir: Please ensure that everyone's opd slip contains this written in block letters:

Advised admission for further evaluation 

Please avoid sending any tests from p

Opd 

Please text me here or in pm if you need to send any tests from opd

[02/05/23, 9:46:46 AM] ~ Dr. Meesum Abbas: 2. Op no. 20210508591

17 y/ F

C/O fever with chills since 5 days with cold, sore throat and two episodes of vomitings, non bilious

No C/O cough 

H/O occasional abdomen pain 

Advised admission. Patient not willing. Wanted to come 4 days later

[02/05/23, 9:46:48 AM] ~ Dr.Abhi: Okkay sir…

[02/05/23, 9:49:53 AM] Rakesh Biswas Sir: Please ensure that everyone's opd slip contains this written in block letters:

Advised admission for further evaluation 

Please avoid sending any tests from Opd 

Please text me here or in pm if you need to send any tests from opd

[02/05/23, 9:50:13 AM] ~ Rachana Gangula: 3. Op no. 20230444980

A 38Y F

C/O burning micturition since 5 to 6 days

A/W fever, chills and suprapubic pain. 

Getting Admitted in AMC

[02/05/23, 9:50:27 AM] Rakesh Biswas Sir: Are you in opd daily ?

[02/05/23, 9:52:02 AM] ~ Dr. Meesum Abbas: Just yesterday and today sir

[02/05/23, 9:52:06 AM] Rakesh Biswas Sir: 👆Please share this with and Who may not have time otherwise to see this message

[02/05/23, 9:53:15 AM] ~ Navya Lakkakula: Ok sir

[02/05/23, 10:16:10 AM] ~ Dr. Meesum Abbas: 4. Op no. 20210425179

62y/F

C/O 4-5 episodes of hard stools since 5 days, not associated with food

No H/O tenesmus, pain abdomen, vomiting

K/C/O DM since 10 years, HTN since 11 years

[02/05/23, 10:16:24 AM] ~ Rachana Gangula: Serial no 5 

Op no. 20230502304

A 52Y/M 

C /0 Bloating sensation and abdominal discomfort since 6 days. C/O burning sensation of abdomen since 6 days.

K/C/O DM since 6yrs (regular medication- Tab. Glimiperide 2mg PO/OD)

[02/05/23, 10:26:40 AM] ~ Nitish Dampuru: S.NO :- 2

Op no :- 20230501857

A 45Y/M

C/O pain in episgastric region since 2 months.

Increase in pain after taking meals 

N/k/c/o HTN, DM,EPILEPSY,TB,ASTHMA

[02/05/23, 10:27:22 AM] ~ Rachana Gangula: Serial no 6 

Op no. 20230502323

A 26Y/F

C/o Lower Back pain since 4 days, associated with B/L lower limb pain

C/ o frontal Headache since 1 day 

No h/O fever, giddiness, nausea, vomiting, burning micturition. 

Advised Admission, patient not willing for admission.

[02/05/23, 10:36:55 AM] ~ Dr. Meesum Abbas: 8. Op no. 20210511847

46y/F

C/O Neck pain since 3 months radiating to right side, associated with tingling sensation, lower backache radiating to right side 

Weight gain of 5 kgs since 1 month, increased appetite, hair loss

ADVISED ADMISSION FOR FURTHER EVALUATION. 

Denied

[02/05/23, 10:40:13 AM] ~ Rachana Gangula: S.no 7 Op no. 20230502334

A 65/M 

c/o Headache since 10 days, Giddiness since 10 days 

giddiness aggravated on positional change- sitting to standing 

K/C/O HTN since 4 years  on Tab Amlo 5mg and Atenolol 50mg 

Advised Admission, patient not willing for admission. 

Advised ENT opinion I/v/o ?BPPV

[02/05/23, 10:48:51 AM] Rakesh Biswas Sir: Don't refer these chronic patients here and there. Also don't write any treatment. Just mention your history and clinical findings well and write advised admission for further evaluation. 

Otherwise the whole objective of the current strategy to help them completely is lost 

Please text here or in pm if they need any treatment or referral asap

[02/05/23, 10:49:36 AM] Rakesh Biswas 👆 Please also inform 

[02/05/23, 10:49:45 AM] ~ Rachana Gangula: Okay sir

[02/05/23, 10:50:23 AM] ~ Pavan kumar Kasaraneni: Okay sir

[02/05/23, 10:50:43 AM] ~ Dr.Abhi: Okay sir

[02/05/23, 11:05:54 AM] ~ Nitish Dampuru: S.no 9 Op no. 20230502374

A 46/M 

c/o pain in the left side of chest since 2 months 

C/o pain abdomen in episgastric region since 2 Months 

Pain relieved after taking food

Adivised for admission for further cardiac evaluation but patient denied

[02/05/23, 11:23:37 AM] ~ Nitish Dampuru: S.no 10

 Op no. 20230502876

A 42/M

c/o left hand pain since 2 days 

Radiating till elbow which is aggrevated at night 

C/o palpitations 2 days

Adiviced for cardiac evaluation but patient denied admission

[02/05/23, 11:26:10 AM] Rakesh Biswas Sir: Only 10 patients from 9Am to 11:30 Am?

[02/05/23, 11:28:43 AM] ~ Nitish Dampuru: S.no 11

 Op no. 20230502873

A 42/M

C/o generalised weakness since 2months

C/o fatigue since 2 months

Tingling sensation of both upper limbs and lower limbs since 2 months

[02/05/23, 11:29:31 AM] ~ Nitish Dampuru: He ia k/c/o Dm since 5 years  on (metformin 500 mg )

[02/05/23, 11:29:48 AM] ~ Nitish Dampuru: Patient is not willing for admission

[02/05/23, 11:33:50 AM] ~ Nitish Dampuru: S.no 12

 Op no. 20230502899

A 17/F

C/o fever since 1 month 

A/w chills and rigor and aggrevated at night and relieved in the morning 

Generalised myalgia , abdominal around umbilicus , nausea

Advised for further evaluation of fever but patient is not willing to get admitted

[02/05/23, 11:43:02 AM] ~ Nitish Dampuru: S.S.no 13

 Op no. 20230502897

A 16/F

C/o 2 painless swellings in the right breast 

No tenderness no discharge 

Refer to surgery opd

[02/05/23, 11:44:51 AM] ~ Nitish Dampuru: S.no 14

 Op no. 20230502898

A 40/F

C/o  painless swelling in the right breast since 10 years

No tenderness no discharge 

Refer to surgery opd

[02/05/23, 11:49:27 AM] ~ Dr. Meesum Abbas: 15. 

Op no. 20210527571

25y/F pregnant (2nd trimester)

C/O cold since 10 days with running nose

Cough since 10 days with sputum(white)

No fever, wt loss

Culture sensitivity negative, CBNAAT negative 

Advised admission for further evaluation but not willing to

[02/05/23, 11:49:55 AM] Rakesh Biswas Sir: Please mention all these information In a single text

[02/05/23, 11:51:49 AM] Rakesh Biswas Sir: Mention respiratory rate in all such patients with cough and fever

[02/05/23, 11:52:15 AM] ~ Dr. Meesum Abbas: Ok sir

[02/05/23, 11:52:51 AM] ~ Dr. Meesum Abbas: RR- 20 cpm

Temp- Afebrile

[02/05/23, 11:56:00 AM] ~ Nitish Dampuru: S.no 16

Op no 20230502301

A 50/F

 

C/o neck pain since 1 week radiating to shoulder 

C/o headache  diffuse in nature since 1 week

C/o itching on the right side of the flank scaly lesion 

Refered to DVL

Patient is not willing to get admitted for further evaluation

[02/05/23, 12:03:23 PM] ~ Nitish Dampuru: Sno 17 

Op no 20230502895

A 27/F

Chest Discomfort since 1 year

Breast pain since 2 months 

C/o cough -dry, associated with chest increasing when bending forwards 

Patient advised for admission for further evaluation 

But not willing for admission

[02/05/23, 12:23:53 PM] ~ Nitish Dampuru: Sn no 19

Op no 20230502382

45/F

Swelling of B/L lower limbs (below knee) on & off since 10days, relieved on it's own. C/o tingling sensation of b/l lower limbs 

H/o burning sensation and chest pain in the chest region since 15 days.

Consumes toddy daily.

Patient not willing for admission

[02/05/23, 12:30:48 PM] ~ Nitish Dampuru: Sn no 20

Op no 20230502909

35/F

C/o headache abd neck pain since 1 month 

Head ache in the occipital region aggrevated in extreme weather 

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 12:37:55 PM] ~ Nitish Dampuru: Sn no 21

Op no 20230502956

40/F

C/o swelling over the occipital region

C/o headache since 1 week

H/o RTA 1 WEEK AGO

Patient advised for admission but not prepared and willing  for admission

ADVISED FOR SURGERY REFERAL

[02/05/23, 12:41:44 PM] ~ Nitish Dampuru: S no 22 

Op no 20230502926

50/F

C/o chest pain diffuse and dragging type and dyspnoea on exertion sob grade 2

Patient advised for admission for further cardiac evaluation but not prepared and willing  for admission

[02/05/23, 12:53:14 PM] ~ Nitish Dampuru: Sno 

Op no 20230502977

30/F

C/o generalised weakness

Pallor + 

Has been skipping breakfast since last 1 year.

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 12:56:49 PM] ~ Nitish Dampuru: Sno 24

Op no 20230502952

35/F

C/opain in chest since 1 month

Pain in b/l lower limb since 1 month dragging type 

Pedal edema extending upto knee

Patient advised for admission but  willing  for admission

Admitted under unit 2

[02/05/23, 1:04:44 PM] ~ Nitish Dampuru: Sno 15

Op no 20230502961

23/M

C/o fever since 1 week

Low grade intermittent a/w chills aggrevated in nights relieved after medication

Cough + dry

Generalised myaldia + loss of appetite +

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 1:05:00 PM] ~ Nitish Dampuru: Sno 25*

[02/05/23, 1:10:44 PM] ~ Nitish Dampuru: Sno 26

Op no 20230502975

33/F

C/o fever since one day a/w chills and rigors 

Cough since 1 day 

Low back ache since 6 months.

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 1:38:37 PM] ~ Nitish Dampuru: Sno 27

Op no 20230502995

75/M

C/o B/L lower limb sensation pitting type of edema +

Giddiness and rotating feeling when moved from sleeping position to sitting position 

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 1:42:36 PM] Rakesh Biswas Sir: Well done Nitish. You seem to be working alone today!

[02/05/23, 1:49:56 PM] ~ Nitish Dampuru: Sno 28

Op no 20230502875

55/M

C/o b/l leg pain since 10 days  a/w pitting type of edema 

Chronic smoker since 40 years 

Chutta( cigar ) from last 15 years

Patient advised for admission but not prepared and willing  for admission

[02/05/23, 1:55:33 PM] ~ Nitish Dampuru: Sno 29

Op no 20230503385

30/F

C/o dark skin under arms itching+ 

Redness+

C/o left knee pain after slippage 

Send for dvl referral and ortho referral

[02/05/23, 2:13:20 PM] ~ Nitish Dampuru: Sno 

Op no 20210111747

40/F

C/o k/c/o DM since 5 years, but on medication for last 6 months no fresh complaints per say 

She is on METFORMIN 500 mg

Patient advised for admission but not prepared and willing  for admission.

[02/05/23, 2:13:32 PM] ~ Nitish Dampuru: Sno 30*

[02/05/23, 2:40:34 PM] ~ Rachana Gangula: Sno 31

Op no- 20230502980

58y/M

c/o right sided headache associated with tingling sensations since 1 month. 

Aggravated by strain and physical activity. 

H/O head trauma 15 years back. Not associated with vomitings or ENT bleed. 

K/C/O DM since 3 years 

Advised admission but patient not prepared and not willing

[02/05/23, 2:48:01 PM] ~ Rachana Gangula: Sno 32 

Op no- 20230502986

55Y/M

C/O swelling of B/L lower limbs since 1 week

Swelling developed after prolonged sitting while travelling in bus.

H/O similar complaints in past, relieved on its own by taking rest 

K/C/O HTN since 6 years 

ADVISED ADMISSION BUT PATIENT REFUSED

[02/05/23, 2:54:15 PM] ~ Rachana Gangula: Sno 33 

Op no 20210427068

60/M

C/0 tingling sensation of both upper and lower limbs since 1 week 

Polyuria present. No polydipsia or polyphagia 

Not a K/C/o DM/ HTN 

Advised admission for further evaluation but patients not willing

[02/05/23, 2:57:27 PM] ~ Rachana Gangula: S no 36

Op no 20230502974

28Y/ F

C/o neck pain since 5 months 

Headache since 5 months, blurring of vision since 2 months. Not using spectacles for refractive error. 

Sent for ophthal referral

[02/05/23, 3:07:57 PM] ~ Dr. Meesum Abbas: 37. 

Op no. 20230503305

45y/F

C/O neck pain since 6 months, increased on bending forward. No restriction of movements with tingling sensation of left upper hand

Advised admission for further evaluation but patient not willing

[02/05/23, 3:09:02 PM] ~ Rachana Gangula: Sno 38

Op no- 20230431840

45/M

C/O burning and itching sensation of right side of chest region 

H/o electric shock at the age of 12 years 

Sent for dermatology referral

[02/05/23, 3:10:58 PM] Rakesh Biswas Sir: Zoster?

[02/05/23, 3:11:50 PM] ~ Rachana Gangula: No lesions at the site sir

[02/05/23, 3:33:57 PM] Rakesh Biswas Sir: Then why dermatology?

[02/05/23, 3:37:56 PM] ~ Rachana Gangula: Sno 45 

Op no- 20230503366

60Y/F

C/O neck pain since 1 month associated with headache and tingling sensation of both hands. 

H/O lower back pain, dragging type, radiating to lower limbs and associated with tingling sensations.

Sent for Orthopaedics referral

[02/05/23, 3:41:14 PM] Rakesh Biswas Sir: Shouldn't have sent for referral. This is supposed to be diagnosed and treated by us!!

If we keep referring all our patients what are we doing?

[02/05/23, 3:53:06 PM] ~ Dr. Meesum Abbas: 46. 

Op no. 20230503417

30y/F

C/O joint pains since 5 months ( wrist, elbow and ankle joints) with H/O joints stiffness on and off

H/O low fever on and off

H/O swelling over joints on and off

Anti CCP Positive 

RA factor positive

Esr elevated 

Advised admission for further evaluation but not will. Wants to get admitted later

[02/05/23, 3:56:43 PM] ~ Rachana Gangula: Sno 47

Op no 20230503411

24y/M 

C/O weakness & shivering at Night since 1 years 

C/O SOB on Lifting heavy weights 

K/C/O DM since 2 years on irregular Medication

Patient advised for admission but not willing to get admitted.

[02/05/23, 4:03:26 PM] ~ Rachana Gangula: Sno 48 

Op no 20230503413

67/F 

C/O lower back pain radiating along right lower limb associated with h/o tingling sensation since 1 week 

No h/o trauma. N/k/c/o DM, HTN. 

Advised admission for further evaluation but patient not prepared and not willing for admission

[02/05/23, 4:05:10 PM] ~ Dr. Meesum Abbas: 49. 

Op no. 20210326126

50y/M

C/O SOB 2 days back for 1 hour which reduced on medication (Asthalin)

H/O consumption of non veg food and alcohol after which the complaint developed 

Advised admission for further evaluation but denied

[02/05/23, 4:11:15 PM] Rakesh Biswas Sir: How many admitted today out of 50 seen?

[02/05/23, 4:14:06 PM] ~ Rachana Gangula: Sno 50 

Op no 20230503415

35/F 

C/O chest pain and shortness of breath since yesterday 

H/O blunt trauma to chest yesterday in a road traffic accident. No H/O palpitations. 

Advised admission for further evaluation but patient not prepared and not willing for the same

[02/05/23, 4:17:06 PM] Rakesh Biswas Sir: 👆

[02/05/23, 4:32:22 PM] Rakesh Biswas Sir: 👆

[02/05/23, 4:40:27 PM] ~ Afeefa Farzana: 4 admissions sir

[02/05/23, 4:45:39 PM] Rakesh Biswas Sir: Thanks

3rd May 2023, Wednesday 

[03/05/23, 6:54:58 AM] Rakesh Biswas Sir: May 2, 2023 OPD audit of cases seen and admitted with reasons for non admission 

[5/2, 9:34 AM] : 2/5/23 Serial no 1 

Op no. 20210114454

A 67Y F

Came for regular checkup 

K/C/o DM since 10 years on regular medication T.Metformin 500mg PO/OD 

K/C/o HTN since 10 years on regular medication T.ATENOLOL 50mg PO/OD 

K/C/o hypercholestolemia since 4 years (using unknown medication)

[5/2, 9:46 AM]: 

2. Op no. 20210508591

17 y/ F

C/O fever with chills since 5 days with cold, sore throat and two episodes of vomitings, non bilious

No C/O cough 

H/O occasional abdomen pain 

Advised admission. Patient not willing. Wanted to come 4 days later

[5/2, 9:50 AM]: 

3. Op no. 20230444980

A 38Y F

C/O burning micturition since 5 to 6 days

A/W fever, chills and suprapubic pain. 

Getting Admitted in AMC

[5/2, 10:16 AM]: 

4. Op no. 20210425179

62y/F

C/O 4-5 episodes of hard stools since 5 days, not associated with food

No H/O tenesmus, pain abdomen, vomiting

K/C/O DM since 10 years, HTN since 11 years

[5/2, 10:16 AM] +91 82472 12237:

 Serial no 5 

Op no. 20230502304

A 52Y/M 

C /0 Bloating sensation and abdominal discomfort since 6 days. C/O burning sensation of abdomen since 6 days.

K/C/O DM since 6yrs (regular medication- Tab. Glimiperide 2mg PO/OD)

[5/2, 10:26 AM] Nitish Dampuru Kims 2018 Ug: S.NO :- 2

Op no :- 20230501857

A 45Y/M

C/O pain in episgastric region since 2 months.

Increase in pain after taking meals 

N/k/c/o HTN, DM,EPILEPSY,TB,ASTHMA

[5/2, 10:27 AM]: 

Serial no 6 

Op no. 20230502323

A 26Y/F

C/o Lower Back pain since 4 days, associated with B/L lower limb pain

C/ o frontal Headache since 1 day 

No h/O fever, giddiness, nausea, vomiting, burning micturition. 

Advised Admission, patient not willing for admission.

[5/2, 10:36 AM] : 

8. Op no. 20210511847

46y/F

C/O Neck pain since 3 months radiating to right side, associated with tingling sensation, lower backache radiating to right side 

Weight gain of 5 kgs since 1 month, increased appetite, hair loss

ADVISED ADMISSION FOR FURTHER EVALUATION. 

Denied

[5/2, 10:40 AM]: 

S.no 7 Op no. 20230502334

A 65/M 

c/o Headache since 10 days, Giddiness since 10 days 

giddiness aggravated on positional change- sitting to standing 

K/C/O HTN since 4 years  on Tab Amlo 5mg and Atenolol 50mg 

Advised Admission, patient not willing for admission. 

Advised ENT opinion I/v/o ?BPPV

[5/2, 11:05 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 9 Op no. 20230502374

A 46/M 

c/o pain in the left side of chest since 2 months 

C/o pain abdomen in episgastric region since 2 Months 

Pain relieved after taking food

Adivised for admission for further cardiac evaluation but patient denied

[5/2, 11:23 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 10

 Op no. 20230502876

A 42/M

c/o left hand pain since 2 days 

Radiating till elbow which is aggrevated at night 

C/o palpitations 2 days

Adiviced for cardiac evaluation but patient denied admission

[5/2, 11:28 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 11

 Op no. 20230502873

A 42/M

C/o generalised weakness since 2months

C/o fatigue since 2 months

Tingling sensation of both upper limbs and lower limbs since 2 months

He ia k/c/o Dm since 5 years  on (metformin 500 mg )

Patient is not willing for admission

[5/2, 11:33 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 12

 Op no. 20230502899

A 17/F

C/o fever since 1 month 

A/w chills and rigor and aggrevated at night and relieved in the morning 

Generalised myalgia , abdominal around umbilicus , nausea

Advised for further evaluation of fever but patient is not willing to get admitted

[5/2, 11:43 AM] Nitish Dampuru Kims 2018 Ug: S.

S.no 13

 Op no. 20230502897

A 16/F

C/o 2 painless swellings in the right breast 

No tenderness no discharge 

Refer to surgery opd

[5/2, 11:44 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 14

 Op no. 20230502898

A 40/F

C/o  painless swelling in the right breast since 10 years

No tenderness no discharge 

Refer to surgery opd

[5/2, 11:49 AM]: 

15. 

Op no. 20210527571

25y/F pregnant (2nd trimester)

C/O cold since 10 days with running nose

Cough since 10 days with sputum(white)

No fever, wt loss

Culture sensitivity negative, CBNAAT negative 

Advised admission for further evaluation but not willing to

[5/2, 11:56 AM] Nitish Dampuru Kims 2018 Ug: 

S.no 16

Op no 20230502301

A 50/F

 

C/o neck pain since 1 week radiating to shoulder 

C/o headache  diffuse in nature since 1 week

C/o itching on the right side of the flank scaly lesion 

Refered to DVL

Patient is not willing to get admitted for further evaluation

[5/2, 12:03 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 17 

Op no 20230502895

A 27/F

Chest Discomfort since 1 year

Breast pain since 2 months 

C/o cough -dry, associated with chest increasing when bending forwards 

Patient advised for admission for further evaluation 

But not willing for admission

[5/2, 12:23 PM] Nitish Dampuru Kims 2018 Ug: 

Sn no 19

Op no 20230502382

45/F

Swelling of B/L lower limbs (below knee) on & off since 10days, relieved on it's own. C/o tingling sensation of b/l lower limbs 

H/o burning sensation and chest pain in the chest region since 15 days.

Consumes toddy daily.

Patient not willing for admission

[5/2, 12:30 PM] Nitish Dampuru Kims 2018 Ug: 

Sn no 20

Op no 20230502909

35/F

C/o headache abd neck pain since 1 month 

Head ache in the occipital region aggrevated in extreme weather 

Patient advised for admission but not prepared and willing  for admission

[5/2, 12:37 PM] Nitish Dampuru Kims 2018 Ug: 

Sn no 21

Op no 20230502956

40/F

C/o swelling over the occipital region

C/o headache since 1 week

H/o RTA 1 WEEK AGO

Patient advised for admission but not prepared and willing  for admission

ADVISED FOR SURGERY REFERAL

[5/2, 12:41 PM] Nitish Dampuru Kims 2018 Ug: S no 22 

Op no 20230502926

50/F

C/o chest pain diffuse and dragging type and dyspnoea on exertion sob grade 2

Patient advised for admission for further cardiac evaluation but not prepared and willing  for admission

[5/2, 12:53 PM] Nitish Dampuru Kims 2018 Ug: Sno 

Op no 20230502977

30/F

C/o generalised weakness

Pallor + 

Has been skipping breakfast since last 1 year.

Patient advised for admission but not prepared and willing  for admission

[5/2, 12:56 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 24

Op no 20230502952

35/F

C/opain in chest since 1 month

Pain in b/l lower limb since 1 month dragging type 

Pedal edema extending upto knee

Patient advised for admission but  willing  for admission

Admitted under unit 2

[5/2, 1:04 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 15

Op no 20230502961

23/M

C/o fever since 1 week

Low grade intermittent a/w chills aggrevated in nights relieved after medication

Cough + dry

Generalised myaldia + loss of appetite +

Patient advised for admission but not prepared and willing  for admission

[5/2, 1:10 PM] Nitish Dampuru Kims 2018 Ug:

 Sno 26

Op no 20230502975

33/F

C/o fever since one day a/w chills and rigors 

Cough since 1 day 

Low back ache since 6 months.

Patient advised for admission but not prepared and willing  for admission

[5/2, 1:38 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 27

Op no 20230502995

75/M

C/o B/L lower limb sensation pitting type of edema +

Giddiness and rotating feeling when moved from sleeping position to sitting position 

Patient advised for admission but not prepared and willing  for admission

[5/2, 1:49 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 28

Op no 20230502875

55/M

C/o b/l leg pain since 10 days  a/w pitting type of edema 

Chronic smoker since 40 years 

Chutta( cigar ) from last 15 years

Patient advised for admission but not prepared and willing  for admission

[5/2, 1:55 PM] Nitish Dampuru Kims 2018 Ug: 

Sno 29

Op no 20230503385

30/F

C/o dark skin under arms itching+ 

Redness+

C/o left knee pain after slippage 

Send for dvl referral and ortho referral

[5/2, 2:13 PM] Nitish Dampuru Kims 2018 Ug: Sno 

Op no 20210111747

40/F

C/o k/c/o DM since 5 years, but on medication for last 6 months no fresh complaints per say 

She is on METFORMIN 500 mg

Patient advised for admission but not prepared and willing  for admission

[5/2, 2:40 PM]: 

Sno 31

Op no- 20230502980

58y/M

c/o right sided headache associated with tingling sensations since 1 month. 

Aggravated by strain and physical activity. 

H/O head trauma 15 years back. Not associated with vomitings or ENT bleed. 

K/C/O DM since 3 years 

Advised admission but patient not prepared and not willing

[5/2, 2:48 PM]: 

Sno 32 

Op no- 20230502986

55Y/M

C/O swelling of B/L lower limbs since 1 week

Swelling developed after prolonged sitting while travelling in bus.

H/O similar complaints in past, relieved on its own by taking rest 

K/C/O HTN since 6 years 

ADVISED ADMISSION BUT PATIENT REFUSED

[5/2, 2:54 PM]: 

Sno 33 

Op no 20210427068

60/M

C/0 tingling sensation of both upper and lower limbs since 1 week 

Polyuria present. No polydipsia or polyphagia 

Not a K/C/o DM/ HTN 

Advised admission for further evaluation but patients not willing

[5/2, 2:57 PM]: 

S no 36

Op no 20230502974

28Y/ F

C/o neck pain since 5 months 

Headache since 5 months, blurring of vision since 2 months. Not using spectacles for refractive error. 

Sent for ophthal referral

[5/2, 3:07 PM]: 

37. 

Op no. 20230503305

45y/F

C/O neck pain since 6 months, increased on bending forward. No restriction of movements with tingling sensation of left upper hand

Advised admission for further evaluation but patient not willing

[5/2, 3:09 PM]: 

Sno 38

Op no- 20230431840

45/M

C/O burning and itching sensation of right side of chest region 

H/o electric shock at the age of 12 years 

Sent for dermatology referral

[5/2, 3:37 PM]: 

Sno 45 

Op no- 20230503366

60Y/F

C/O neck pain since 1 month associated with headache and tingling sensation of both hands. 

H/O lower back pain, dragging type, radiating to lower limbs and associated with tingling sensations.

Sent for Orthopaedics referral

[5/2, 3:53 PM]: 

46. 

Op no. 20230503417

30y/F

C/O joint pains since 5 months ( wrist, elbow and ankle joints) with H/O joints stiffness on and off

H/O low fever on and off

H/O swelling over joints on and off

Anti CCP Positive 

RA factor positive

Esr elevated 

Advised admission for further evaluation but not will. Wants to get admitted later

[5/2, 3:56 PM]: 

Sno 47

Op no 20230503411

24y/M 

C/O weakness & shivering at Night since 1 years 

C/O SOB on Lifting heavy weights 

K/C/O DM since 2 years on irregular Medication

Patient advised for admission but not willing to get admitted.

[5/2, 4:03 PM]:

 Sno 48 

Op no 20230503413

67/F 

C/O lower back pain radiating along right lower limb associated with h/o tingling sensation since 1 week 

No h/o trauma. N/k/c/o DM, HTN. 

Advised admission for further evaluation but patient not prepared and not willing for admission

[5/2, 4:05 PM]: 

49. 

Op no. 20210326126

50y/M

C/O SOB 2 days back for 1 hour which reduced on medication (Asthalin)

H/O consumption of non veg food and alcohol after which the complaint developed 

Advised admission for further evaluation but denied

[5/2, 4:14 PM]: 

Sno 50 

Op no 20230503415

35/F 

C/O chest pain and shortness of breath since yesterday 

H/O blunt trauma to chest yesterday in a road traffic accident. No H/O palpitations. 

Advised admission for further evaluation but patient not prepared and not willing for the same

50 cases seen and 4 admitted  

[03/05/23, 6:55:57 AM] Rakesh Biswas Sir:Please inform the SR and interns on OPD duty today who will be responsible for this daily communication today asap

[03/05/23, 9:50:10 AM] ~ Parvez Ansari: 1. 

Op no. 20230503695

36y/F

C/O palpitations with left sided chest pain 3 times 2 months ago

Advised admission for further evaluation 

Patient getting admitted

[03/05/23, 9:58:03 AM] ~ Parvez Ansari: 2. 

Op no. 20230503701

41/M

C/O Pain and burning sensation in epigastric region for 3 days

No h/o vomiting and loose stools

Advised admission for further evaluation but not willing to admit

[03/05/23, 10:02:39 AM] ~ Parvez Ansari: 3.

Op no. 20210523356

51/F

C/O neck pain not radiating to both upper limbs for 1 week

C/O burning sensation in chest after having food for 3 months

No C/O palpitations, excessive sweating and difficulty in breathing

Advised admission for further evaluation but patient not willing to admit

[03/05/23, 10:06:14 AM] ~ Navya: 4. 

Op no. 20230503963

55/F

C/O Headache since 1 year B/L frontal and temporal region A/W aura, giddiness, photophobia, relieved with medication

C/O neck pain radiating to b/l shoulder and upper limbs

No h/o nausea, vomitings, pain abdomen, loose stools

Advised admission for further evaluation but not willing to admit

[03/05/23, 10:14:42 AM] ~ Parvez Ansari: 5.

Op no. 20230504135

F/C/O of type 2 DM

Stopped medications 2 months ago. 

Advised admission further evaluation but not willing to get admitted

[03/05/23, 10:20:54 AM] ~ Parvez Ansari: 6

Op no. 20230504136

30/F

C/O fever for 6 months

C/O low back ache non radiating for 10 days

Advised admission for further evaluation 

Patient is getting admitted

[03/05/23, 10:30:42 AM] ~ Parvez Ansari: 7.

Op no. 20230504117

60/F

C/O fever high grade associated with chills

C/O severe pain in right hypochondrium region non radiating

Advised admission for further evaluation 

Patient getting admitted

[03/05/23, 10:33:01 AM] ~ Parvez Ansari: Will get admitted after patient's attender comes

[03/05/23, 10:39:03 AM] ~ Parvez Ansari: 8.

Op no. 20230504112

65/F

C/O fever intermittent associated with chills for 10 days not subsided on medications

C/O cough with sputum(white coloured) for 10 days

Advised admission for further evaluation 

Patient is not willing to get admitted

[03/05/23, 10:44:59 AM] ~ Parvez Ansari: 9.

Op no. 20210213183

66/M

C/O pain in epigastric region for 1 day

C/O of lower back ache for 1 day

K/c/o bronchial asthma and on homeopathic medication

Advised admission for further evaluation 

Patient denied getting admission.

[03/05/23, 10:54:45 AM] ~ Parvez Ansari: 10

Op no. 20230504162

65/M

C/O headache (temporal and parietal region) for 1 year

C/O neck pain for 1 year

Advised admission for further evaluation 

Patient is not willing to admit

[03/05/23, 11:03:25 AM] ~ Navya: 11.

Op no. 20230504157

C/O left lower limb swelling (putting type) since 50 years?? Filariasis

C/O pain in right lower limb upto knee and swelling below the knee since 1 month, tingling and numbness present, burning sensation present

H/O trauma to right lower limb

H/O tingling and numbness to left shoulder 1 year back and relieved one month back

K/c/o DM 2 for 20 years and on medications glimeperide 2 mg and metformin 100 mg

K/c/o hypertension for 20 years and on medication TELMA 40

K/c/o asthma since 6 years and on inhaler:salmeterol 50 mcg, fluticasone 100 mcg

Advised admission for further evaluation

Patient is not willing to admit

[03/05/23, 11:06:59 AM] ~ Navya: 12.

Op no:20230504162

45/M

C/O Headache since 1 year B/L frontal and temporal region a/w aura, photophobia, phonophobia

C/O neck pain since 1 year

No h/o nausea, vomitings, pain abdomen, loose stools

Advised admission for further evaluation but not willing to admit

[03/05/23, 11:07:14 AM] ~ Navya: 72/F

[03/05/23, 11:29:08 AM] ~ Parvez Ansari: 13

Op no. 20230504168

40/F

C/O headache in Rt. Parietal region and occipital region for 6 months 

C/O Neck pain radiating to right hand for 2 months

H/O giddiness( 3 episodes) 3 months ago 

Advised admission for further evaluation 

Patient is getting admitted

[03/05/23, 11:29:27 AM] ~ Parvez Ansari: 14

Op no. 20230504197

57/F

C/O swelling of both upper and lower limbs for 3 months

H/o slip and fall 3 months back

H/o difficulty in swallowing for 10 years

Advised admission for further evaluation 

Patient is getting admitted

[03/05/23, 11:37:34 AM] ~ Navya: 15.

Op No. 20230504185

85/M

C/O pain in b/l lower limbs and tingling and numbness since 1 year

Burning micturition since 6 months, increased frequnecy and pain during micturition

H/O similar complaints 2 years ago

H/O significant post void residue

Difficulty and pain during passing stools 

Advised admission for further evaluation 

Will get admitted after patients attender comes

[03/05/23, 11:46:19 AM] ~ Navya: 16.

Op no. 20230504219

38/F

C/O cough since one month (dry cough) (during mrng) 

C/O sneezing since one month (more during mrng) 

Dust allergy present

C/o cold since 1 month (more during winter season)

Advised admission for further evaluation but not willing to admit

[03/05/23, 11:59:19 AM] ~ Navya: 17.

Op no. 20230504591

45/F

C/O fever since yesterday night a/w chills and rigor

C/O cold since 3 days

H/O burning micturition since 3 days and resolved

Advised admission for further evaluation but not willing to admit

[03/05/23, 12:03:33 PM] ~ Navya: 18.

Op no. 20210322749

32/F

C/O headache since yesterday, intermittent, b/l frontotemporal

Vomiting since yesterday- 4 episodes of vomiting, watery type, non projectile

K/c/o HTN since 2 years on telma 40mg 

Advised admission for further evaluation but not willing to admit

[03/05/23, 12:21:28 PM] ~ Navya: 19.

Op no. 20210322749

32/M

C/O swelling in left groin region ( painless) 

Refferred to general surgery opd

[03/05/23, 12:23:59 PM] ~ Navya: 20.

Op no. 20210421630

B/L pedal edema since 5 months extended upto knee, putting type

Epigastric pain since 5 days

B/L knee pain, aggravtes on walking

Advised admission for further evaluation but not willing to admit

[03/05/23, 12:33:57 PM] ~ Navya: 21.

Op no. 20210422474

C/O fever since 5 days (more during morning) 

C/o tingling, numbness in both upper limbs since one month

C/O neck pain radiating to both upper limbs

Advised admission for further evaluation but not willing to admit

[03/05/23, 1:21:12 PM] ~ Parvez Ansari: 22.

Op no. 20230505125

C/O of bilateral pedal edema for 1 week

F/C/O of alcoholic hepatitis with alcoholic liver disease

Advised admission for further evaluation and patient is getting admitted

[03/05/23, 2:41:10 PM] Rakesh Biswas Sir: Only 22 patients since morning?

[03/05/23, 2:49:21 PM] ~ Navya: 23.

Op no. 20230504730

28/M

K/C/O RBBB

Came for regular checkup

No h/O sob, palpitations, cest pain, giddiness

No h/O fever, cough

Advised admission for further evaluation but not willing to admit

[03/05/23, 2:57:07 PM] ~ Navya: 24.

Op no. 20230501038

50/F

Pain abdomen burning type in umbilical region since 5-6 days a/w nausea, aggravated after taking food

2 episodes of vomiting yesterday(non bilious, non projectile, containing food particles) 

C/O neck pain present

Advised admission for further evaluation on Monday and patient is getting admitted today

[03/05/23, 3:00:51 PM] ~ Navya: 25.

Op no. 20230503695

36/F

Palpitations with left sided chest pain 

H/O similar complaints 3 times 2 months ago 

Advised admission for further evaluation and patient is getting admitted

[03/05/23, 3:25:23 PM] ~ Parvez Ansari: 26

Op no. 20230505172

34/M

C/O chest pain for 2 months

Aggravated on food intake

Radiating to left arm

No h/o nausea vomiting palpitations

Advised admission for further evaluation but patient refused getting admitted

[03/05/23, 3:40:34 PM] ~ Parvez Ansari: 27

Op no. 20230500998

27/M

Case Reffered from dermatology i/v/o low Hb(9.8gms/dl) 

Advised admission for further evaluation but patient refused getting admitted

[03/05/23, 3:54:16 PM] ~ Parvez Ansari: 28

Op no. 20230505180

29/F

C/O headache for 6 months

(Bilateral temporal and parietal) 1 episode everyday(15-20 mins) 

H/o photophobia, nausea 

Advised admission for further evaluation but patient refused getting admitted

[03/05/23, 4:01:32 PM] ~ Parvez Ansari: 29

Op no. 20230505179

24/F

Complaints of headache for 1 year (frontal and occipital)

 Increases on stress

No h/o phonophobia phonophobia nausea vomiting

Advised admission for further evaluation but patient refused getting admitted

[03/05/23, 4:05:26 PM] ~ Navya: 30.

Op no. 20230504112

65/F

C/O fever since 10 days, more during night, not relived on medication

A/w chills and rigor since 1 week

C/O cough with sputum since 5-6 months

K/C/O DM-2 since 5 years on medication glimiperide 1 mg+metformin 500 mg

Advised admission for further evaluation and patient is getting admitted

[03/05/23, 4:15:04 PM] Rakesh Biswas Sir: 30 total opd patients seen today? 

How many admitted?

[03/05/23, 4:16:20 PM] ~ Ajay Kumar Reddy: 32 patients are seen in OPD  sir 

5 pts admitted through OPD 

1 pt admitted through casualty

[03/05/23, 4:21:56 PM] ~ Navya: 31.

Op no. 20210209916

32/M

C/O lethargy since 1 week

A/w low grade fever

Decreased apetite

Burning micturition present

H/O wheeze present,increased since 10 days

H/O atopy present to cold weather

No h/O usage of nebulizers and inhalers

Advised admission for further evaluation but patient is not willing for admission

[03/05/23, 10:49:10 PM] Rakesh Biswas Sir: May 3, 2023 OPD case audit with opd to inpatient status and barriers 

One patient adviced to get admitted on Monday came and got admitted today!  

[5/3, 9:50 AM]: 

1. 

Op no. 20230503695

36y/F

C/O palpitations with left sided chest pain 3 times 2 months ago

Advised admission for further evaluation 

Patient getting admitted

[5/3, 9:58 AM]: 

2. 

Op no. 20230503701

41/M

C/O Pain and burning sensation in epigastric region for 3 days

No h/o vomiting and loose stools

Advised admission for further evaluation but not willing to admit

[5/3, 10:02 AM]: 

3.

Op no. 20210523356

51/F

C/O neck pain not radiating to both upper limbs for 1 week

C/O burning sensation in chest after having food for 3 months

No C/O palpitations, excessive sweating and difficulty in breathing

Advised admission for further evaluation but patient not willing to admit

[5/3, 10:06 AM]: 

4. 

Op no. 20230503963

55/F

C/O Headache since 1 year B/L frontal and temporal region A/W aura, giddiness, photophobia, relieved with medication

C/O neck pain radiating to b/l shoulder and upper limbs

No h/o nausea, vomitings, pain abdomen, loose stools

Advised admission for further evaluation but not willing to admit

[5/3, 10:14 AM]: 

5.

Op no. 20230504135

F/C/O of type 2 DM

Stopped medications 2 months ago. 

Advised admission further evaluation but not willing to get admitted

[5/3, 10:20 AM]: 

6

Op no. 20230504136

30/F

C/O fever for 6 months

C/O low back ache non radiating for 10 days

Advised admission for further 

[5/3, 10:30 AM]: 

7.

Op no. 20230504117

60/F

C/O fever high grade associated with chills

C/O severe pain in right hypochondrium region non radiating

Advised admission for further evaluation 

Patient getting admitted

[5/3, 10:33 AM]: Will get admitted after patient's attender comes

[5/3, 10:39 AM]: 

8.

Op no. 20230504112

65/F

C/O fever intermittent associated with chills for 10 days not subsided on medications

C/O cough with sputum(white coloured) for 10 days

Advised admission for further evaluation 

Patient is not willing to get admitted

[5/3, 10:44 AM]: 

9.

Op no. 20210213183

66/M

C/O pain in epigastric region for 1 day

C/O of lower back ache for 1 day

K/c/o bronchial asthma and on homeopathic medication

Advised admission for further evaluation 

Patient denied getting admission.

[5/3, 10:54 AM]: 

10

Op no. 20230504162

65/M

C/O headache (temporal and parietal region) for 1 year

C/O neck pain for 1 year

Advised admission for further evaluation 

Patient is not willing to admit

[5/3, 11:03 AM]: 

11.

Op no. 20230504157

C/O left lower limb swelling (putting type) since 50 years?? Filariasis

C/O pain in right lower limb upto knee and swelling below the knee since 1 month, tingling and numbness present, burning sensation present

H/O trauma to right lower limb

H/O tingling and numbness to left shoulder 1 year back and relieved one month back

K/c/o DM 2 for 20 years and on medications glimeperide 2 mg and metformin 100 mg

K/c/o hypertension for 20 years and on medication TELMA 40

K/c/o asthma since 6 years and on inhaler:salmeterol 50 mcg, fluticasone 100 mcg

Advised admission for further evaluation

Patient is not willing to admit

[5/3, 11:06 AM]: 

12.

Op no:20230504162

45/M

C/O Headache since 1 year B/L frontal and temporal region a/w aura, photophobia, phonophobia

C/O neck pain since 1 year

No h/o nausea, vomitings, pain abdomen, loose stools

Advised admission for further evaluation but not willing to admit

[5/3, 11:29 AM]: 

13

Op no. 20230504168

40/F

C/O headache in Rt. Parietal region and occipital region for 6 months 

C/O Neck pain radiating to right hand for 2 months

H/O giddiness( 3 episodes) 3 months ago 

Advised admission for further evaluation 

Patient is getting admitted

[5/3, 11:29 AM]: 

14

Op no. 20230504197

57/F

C/O swelling of both upper and lower limbs for 3 months

H/o slip and fall 3 months back

H/o difficulty in swallowing for 10 years

Advised admission for further evaluation 

Patient is getting admitted

[5/3, 11:37 AM]: 

15.

Op No. 20230504185

85/M

C/O pain in b/l lower limbs and tingling and numbness since 1 year

Burning micturition since 6 months, increased frequnecy and pain during micturition

H/O similar complaints 2 years ago

H/O significant post void residue

Difficulty and pain during passing stools 

Advised admission for further evaluation 

Will get admitted after patients attender comes

[5/3, 11:46 AM]: 

16.

Op no. 20230504219

38/F

C/O cough since one month (dry cough) (during mrng) 

C/O sneezing since one month (more during mrng) 

Dust allergy present

C/o cold since 1 month (more during winter season)

Advised admission for further evaluation but not willing to admit

[5/3, 11:59 AM]: 

17.

Op no. 20230504591

45/F

C/O fever since yesterday night a/w chills and rigor

C/O cold since 3 days

H/O burning micturition since 3 days and resolved

Advised admission for further evaluation but not willing to admit

[5/3, 12:03 PM] 

18.

Op no. 20210322749

32/F

C/O headache since yesterday, intermittent, b/l frontotemporal

Vomiting since yesterday- 4 episodes of vomiting, watery type, non projectile

K/c/o HTN since 2 years on telma 40mg 

Advised admission for further evaluation but not willing to admit

[5/3, 12:21 PM]: 

19.

Op no. 20210322749

32/M

C/O swelling in left groin region ( painless) 

Refferred to general surgery opd

[5/3, 12:23 PM]: 

20.

Op no. 20210421630

B/L pedal edema since 5 months extended upto knee, putting type

Epigastric pain since 5 days

B/L knee pain, aggravtes on walking

Advised admission for further evaluation but not willing to admit

[5/3, 12:33 PM]: 

21.

Op no. 20210422474

C/O fever since 5 days (more during morning) 

C/o tingling, numbness in both upper limbs since one month

C/O neck pain radiating to both upper limbs

Advised admission for further evaluation but not willing to admit

[5/3, 1:21 PM]: 

22.

Op no. 20230505125

C/O of bilateral pedal edema for 1 week

F/C/O of alcoholic hepatitis with alcoholic liver disease

Advised admission for further evaluation and patient is getting admitted

[5/3, 2:49 PM]: 

23.

Op no. 20230504730

28/M

K/C/O RBBB

Came for regular checkup

No h/O sob, palpitations, cest pain, giddiness

No h/O fever, cough

Advised admission for further evaluation but not willing to admit

[5/3, 2:57 PM]: 

24.

Op no. 20230501038

50/F

Pain abdomen burning type in umbilical region since 5-6 days a/w nausea, aggravated after taking food

2 episodes of vomiting yesterday(non bilious, non projectile, containing food particles) 

C/O neck pain present

Advised admission for further evaluation on Monday and patient is getting admitted today

[5/3, 3:00 PM]:

 25.

Op no. 20230503695

36/F

Palpitations with left sided chest pain 

H/O similar complaints 3 times 2 months ago 

Advised admission for further evaluation and patient is getting admitted

[5/3, 3:25 PM]: 

26

Op no. 20230505172

34/M

C/O chest pain for 2 months

Aggravated on food intake

Radiating to left arm

No h/o nausea vomiting palpitations

Advised admission for further evaluation but patient refused getting admitted

[5/3, 3:40 PM]: 

27

Op no. 20230500998

27/M

Case Reffered from dermatology i/v/o low Hb(9.8gms/dl) 

Advised admission for further evaluation but patient refused getting admitted

[5/3, 3:54 PM]: 

28

Op no. 20230505180

29/F

C/O headache for 6 months

(Bilateral temporal and parietal) 1 episode everyday(15-20 mins) 

H/o photophobia, nausea 

Advised admission for further evaluation but patient refused getting admitted

[5/3, 4:01 PM]: 

29

Op no. 20230505179

24/F

Complaints of headache for 1 year (frontal and occipital)

 Increases on stress

No h/o phonophobia phonophobia nausea vomiting

Advised admission for further evaluation but patient refused getting admitted

[5/3, 4:05 PM] : 

30.

Op no. 20230504112

65/F

C/O fever since 10 days, more during night, not relived on medication

A/w chills and rigor since 1 week

C/O cough with sputum since 5-6 months

K/C/O DM-2 since 5 years on medication glimiperide 1 mg+metformin 500 mg

Advised admission for further evaluation and patient is getting admitted

[5/3, 4:16 PM] Ajay Reddy 2022 Med PG Kims: 32 patients are seen in OPD  sir 

5 pts admitted through OPD 

1 pt admitted through casualty

[5/3, 4:21 PM]: 

31.

Op no. 20210209916

32/M

C/O lethargy since 1 week

A/w low grade fever

Decreased apetite

Burning micturition present

H/O wheeze present,increased since 10 days

H/O atopy present to cold weather

No h/O usage of nebulizers and inhalers

Advised admission for further evaluation but patient is not willing for admission

4th May 2023,Thursday 

[04/05/23, 9:30:32 AM] ~ haqansari7863: 1.

OP no. 20210125184

36/ F

Complaints of excessive menstrual bleeding since 2 months

Generalised weakness and and tingling sensation of bilateral upper and lower limb

Decreased appetite constipation palpitations and excessive hair loss

k/c/o hyperthyroidism since 7 years

Advised admission for further evaluation but patient is not willing to get admitted

[04/05/23, 9:41:36 AM] ~ Tejasri Devaruppala: 2.

OP no:20230505544

45/M

K/C/O of hypothyroidism since 8 yrs. On thyronorm 25mg.

Came for routine checkup.

[04/05/23, 9:42:53 AM] Rakesh Biswas Sir: No testing without admission

[04/05/23, 9:45:10 AM] ~ Tejasri Devaruppala: Patient was advised admission but they are not  willing for admission sir.

[04/05/23, 9:52:32 AM] ~ Tejasri Devaruppala: 5.

OP no:20230505543

63/F

C/O pain abdomen since 5days.

-SOB on exertion (grade -2)

-bleching (+ve)

H/o abdominal distension  and bloating.

-constipation since 20days.

Patient was advised admission but they are not  willing for admission .

[04/05/23, 9:54:22 AM] Rakesh Biswas Sir: Please make sure there is no testing without admission.

Who are the duty PGs there today?

[04/05/23, 9:56:15 AM] Rakesh Biswas Sir: But write their detailed history and clinical findings also in the inpatient file supplied to OPD and make sure to keep the files safely with us , to be reused once the patient returns

[04/05/23, 9:56:34 AM] Rakesh Biswas Sir: 👆

[04/05/23, 9:57:43 AM] ~ Tejasri Devaruppala: Venkat sai sir  n Nithin sir

[04/05/23, 10:09:31 AM] ~ haqansari7863: 6.

op.no.20210325800

73 year old male 

Complaints of bilateral knee pain since 5 months (lt >rt) difficulty in walking aggravated since 15-30 days

generalized weakness  since 15days

h/o pain in 1st metatarsophalangeal joint of right leg f/b pain in other small joint for which he was found to have gouty arthritis and was on medication

 k/c/o hypothyroidism since 15 years on tab.thyronorm 100mcg

h/o gout since 10years on tab.febuxostat 40mg

 

Patient was advised admission but was not willing to get admitted

[04/05/23, 10:18:40 AM] ~ Tejasri Devaruppala: 7.

OP no:202305058

38/F

C/O chest pain since  10days.(left sided)

-burning type,non radiating

-local tenderness present.

-Generalised weakness present.

K/C/O DM2 since 6yr on tab.metformin -1gm.

K/C/O hypothyroidism since 1yr on tab.thyronorm 12.5mg.

H/O hysterectomy and cholecystectomy.

Patient was advised for further investigation and admission but they are not  willing for admission.

[04/05/23, 10:25:01 AM] ~ haqansari7863: 11

Op.no 20230505878

50/M

C/O Fever since 20days associated with chills

Cough and hoarseness of voice

Patient was advised admission and is getting admitted

[04/05/23, 10:26:52 AM] Rakesh Biswas Sir: Don't worry. Just advice them to come back at their convenience. Create their PaJR group and ask them to buy a glucometer and follow up sugars fasting and post prandial online weekly and food plates daily every time they eat 

Make their detailed paper and online file 

If you all can save on test and treatment writing time you can actually get done some of the things we are primarily admitting them for, which is creating their case reports and PaJR link for regular follow up. All of us should realize that this is the only thing that will matter in their long run

[04/05/23, 10:32:05 AM] ~ Tejasri Devaruppala: 8.

OP no:20230505541

45/M

C/O SOB since 1month. (Grade 1)

No palpitations,giddiness,chest pain.

- pain in scrotal sac since  4days. Swelling present since 6months.

Referred to gen.surgery OPD.

[04/05/23, 10:32:31 AM] ~ Tejasri Devaruppala: Ok sir.

[04/05/23, 10:36:10 AM] ~ haqansari7863: 14.

op.no20210414264

47/M 

C/O epigastric pain since 3 months palpitations present ,pedal edema present 

 k/c/o hypothyroidism since 4 yrs using thyronorm 

k/c/o DM2 since 6 yrson Glimi M2,HTN since 4 years using amlodipine 2.5mg

Pt was advised admission but patient is not willing to get admitted

[04/05/23, 10:44:39 AM] ~ Tejasri Devaruppala: 12.

OP no:20230505900

30/M

C/O chest pain since 1 

month,dragging type of pain

SOB grade 2( on exertion)

Palpitation(+ve)

H/o trauma 2months back ,injury to chest.

O/E:

RS:BAE present 

Grunting present

Pt was advised admission and further investigations and they are not willing.

[04/05/23, 10:44:47 AM] ~ haqansari7863: 13)

op.no20230505898

C/Opainless swelling over thyroid region since 2yrs

no dysphagia moving eith deglutition 

surgical opinion i/v/o swelling

[04/05/23, 10:50:02 AM] ~ haqansari7863: 14)

op.no 20210206935

C/O Retrosternal chest pain since 2months,pricking type

K/C/O HTN 

 since 6 yrs on Telma 40mg

K/C/O DM since 5 yrs on gliclazide 80mg and metformin 500mg

advised admission but not willing to get admitted

[04/05/23, 10:52:07 AM] ~ haqansari7863: 28/F

Op.no 20210413773

C/O cough since 2 months 

Came for review

[04/05/23, 10:55:44 AM] ~ Tejasri Devaruppala: 18.

OP no:20210210409

60/M

C/o neck pain since yesterday night

no restricted movements , radiating to lower

 backache

Patient was advised admission and they are not willing

[04/05/23, 11:08:42 AM] ~ haqansari7863: 20)

Op.no20230506427

40/M 

C/O fever since 3m ,high grade associated with chills

Excessive sleepiness

C/O cough since 2wks

Sputum whitish in colour

Adviced admission bit patient is not willing to get admitted

[04/05/23, 11:10:39 AM] ~ Tejasri Devaruppala: OP no:20210523541

C/O  giddiness since 20days.

Profuse sweating present

 -Fever since 20days,low grade ,relieved on rest.

Ophthalmology opinion was advised,in view of dimension of vision.

[04/05/23, 11:19:02 AM] ~ Tejasri Devaruppala: OP no:20230506484

C/O- B/L breast pain  during menstruation since 2-3months.

A/W  tenderness.

OBG opinion was advised in view of breast pain and tenderness.

[04/05/23, 11:54:33 AM] ~ haqansari7863: Op.no.20210511967

41y /M 

C/O tingling sensation in b/l upper and lower limb since 2months

Generalised weakness present

Alcohol intake(weeklyonce)

Advised admission but patient is not willing to get admitted

[04/05/23, 11:55:06 AM] ~ Tejasri Devaruppala: OP no:20230506486

C/O - chest pain ,burning type ,retrosternal associated with left arm pain.

K/C/O hypothyroidism on thyronorm  25mcg

Patient was advised for further investigation and admission ,they are not willing.

[04/05/23, 11:58:21 AM] ~ Tejasri Devaruppala: OP no:20230506457

C/O-chest pain since 1 day (on and off),non radiating,dull aching type.

Patient was advised for further investigation and admission ,they are not willing .

[04/05/23, 12:03:50 PM] ~ haqansari7863: Op.no20230506509

55/F

C/O b/l groin pain since 20 days

Burning micturition  and decreased urine output

Patient was advised admission but patient is not willing to get admitted

[04/05/23, 12:04:00 PM] ~ Tejasri Devaruppala: OP no:20230506510

C/o - giddiness since 3months.

No positional variation 

Patient was advised for admission and they are not willing.

[04/05/23, 12:10:15 PM] ~ Tejasri Devaruppala: OP no:20230506513

C/O-cold since 6months.

A/W running nose, watery discharge.

ENT opinion in view of turbinate hypertrophy.

[04/05/23, 12:12:10 PM] ~ haqansari7863: Op. No. 20230506511

65/M

C/O swelling of both legs since 4days

Pitting type on and off

H/O similar complaints in the past

K/C/O HTN on medications tab.Atenolol 50mg

Patient was advised admission but patient is not willing to get admitted

[04/05/23, 12:21:09 PM] ~ haqansari7863: Op No.20230506552

38y /F

C/O headache since 1yr holocranial  ,neckpain present

C/O nausea and vomiting

Advised admission but not willing to get admitted

[04/05/23, 12:24:08 PM] ~ Tejasri Devaruppala: OP no:20230506586

40/F

 C/o-pain in left scapular region since  10 years aggravated since 2 months.

H/o trauma 10yrs back(fall from bike) 

Tingling/paraesthesia of left UL since 2months.

Orthopedics opinion was advised in view of left scapular region pain

[04/05/23, 12:37:31 PM] ~ haqansari7863: Op.on.20230506601

23y/M

C/O chest pain since 6-7months not relieved on taking rest

Not associated with sob/palpitations

Patient was advised admission but patient is not willing to get admitted

[04/05/23, 12:50:39 PM] ~ Tejasri Devaruppala: OP no:20230506591

65/M

C/O- deviation of mouth to left side since 3days.

Weakness of left UL and LL since 3days.

 Slurry speech since 3days.

Similar complaints in the past. 

Patient was advised for admission,they are not willing to get admitted

[04/05/23, 1:00:34 PM] ~ Tejasri Devaruppala: OP no:20230506933

77/F

C/o-pain in hands and legs since one year.

Tingling sensation present.

K/C/O HTN since 20yrs .

On telma 40mg.

Epigastric pain ,belching,abdominal bloating -present.

Patient was advised for admission ,they are not willing to get admitted.

[04/05/23, 2:22:54 PM] ~ haqansari7863: Op no.20230506555

42/F

C/O easy fatigability on excersion and palpitations since 3months

Hair loss present

K/c/o HTN since 6 yrson telma 40mg

Patient was advised admission but patient is not willing to get admitted

[04/05/23, 2:25:43 PM] ~ Tejasri Devaruppala: OP no:20230506359

28/F

C/o-neck pain since 6days increased pain since 3 days radiating to shoulder and arms.

Tingling sensation in hands and feet.

H/O trauma behind left ear  6-7months ago.

Referred to ent in view of earache,tinnitus

[04/05/23, 2:31:57 PM] Rakesh Biswas Sir: No serial numbers after this! 

Please mention the serial numbers

[04/05/23, 2:35:19 PM] ~ haqansari7863: Op. No. 20230507008

80/M 

C/O increased frequency of urine since 5days no burning micturation

C/O throat pain  since 20days

Advised admission but patient is not willing to get admitted

[04/05/23, 2:39:07 PM] ~ haqansari7863: 31.

Op no. 20230507002

35/M

C/O headache since 1month associated with nausea and vomiting

Photophobia and phonophobia present

 Patient was advised admission but patient is not willing to get admitted

[04/05/23, 2:41:18 PM] ~ haqansari7863: 32)

Op no.20220221210

53/M

K/c/o DM 2 since 6yrs using glimiperide 2mg and metformin 500mg

K/c/o HTN since 14yrs

[04/05/23, 2:47:04 PM] Rakesh Biswas Sir: 👆Admitted?

[04/05/23, 2:47:43 PM] ~ haqansari7863: Patient not willing to get admitted

[04/05/23, 2:49:43 PM] ~ Tejasri Devaruppala: 33.

Op no:20230507004

33/F

C/o- neck pain since  6months.

 Right sided chest pain since 5months.

A/W swelling in axillary region.

 Tingling sensation in right side of body.

Patient was advised admission but they are not willing to get admitted.

[04/05/23, 2:54:36 PM] Rakesh Biswas Sir: Yesterday's OPD patient?👇

[04/05/23, 3:22:41 PM] ~ Parvez Ansari: 34

Op no:20230507052

19/M

C/o- headache for 2 weeks(over temporal region) 

C/O vomitings 2 episodes(non projectile) 

 

Patient was advised admission but they are not willing to get admitted.

[04/05/23, 4:27:51 PM] Rakesh Biswas Sir: Summarize:

How many admitted out of 34?

What did we do for those not admitted?

[04/05/23, 4:51:11 PM] ~ Keerthi Madireddi: no admissions sir

[04/05/23, 4:51:50 PM] ~ Keerthi Madireddi: only 3 patients were willing for admission but by the time they kept a casesheet they absconded sir

5th May 2023,Friday

[05/05/23, 6:46:33 AM] Rakesh Biswas Sir: May 4 OPD admission audit 

[5/4, 9:30 AM]:

 1.

OP no. 20210125184

36/ F

Complaints of excessive menstrual bleeding since 2 months

Generalised weakness and and tingling sensation of bilateral upper and lower limb

Decreased appetite constipation palpitations and excessive hair loss

k/c/o hyperthyroidism since 7 years

Advised admission for further evaluation but patient is not willing to get admitted

[5/4, 9:41 AM]: 2.

OP no:20230505544

45/M

K/C/O of hypothyroidism since 8 yrs. On thyronorm 25mg.

Came for routine checkup.

[5/4, 9:52 AM]: 5.

OP no:20230505543

63/F

C/O pain abdomen since 5days.

-SOB on exertion (grade -2)

-bleching (+ve)

H/o abdominal distension  and bloating.

-constipation since 20days.

Patient was advised admission but they are not  willing for admission .

[5/4, 10:09 AM]: 6.

op.no.20210325800

73 year old male 

Complaints of bilateral knee pain since 5 months (lt >rt) difficulty in walking aggravated since 15-30 days

generalized weakness  since 15days

h/o pain in 1st metatarsophalangeal joint of right leg f/b pain in other small joint for which he was found to have gouty arthritis and was on medication

 k/c/o hypothyroidism since 15 years on tab.thyronorm 100mcg

h/o gout since 10years on tab.febuxostat 40mg

 

Patient was advised admission but was not willing to get admitted

[5/4, 10:18 AM]: 7.

OP no:202305058

38/F

C/O chest pain since  10days.(left sided)

-burning type,non radiating

-local tenderness present.

-Generalised weakness present.

K/C/O DM2 since 6yr on tab.metformin -1gm.

K/C/O hypothyroidism since 1yr on tab.thyronorm 12.5mg.

H/O hysterectomy and cholecystectomy.

Patient was advised for further investigation and admission but they are not  willing for admission.

[5/4, 10:25 AM]: 11

Op.no 20230505878

50/M

C/O Fever since 20days associated with chills

Cough and hoarseness of voice

Patient was advised admission and is getting admitted

[5/4, 10:32 AM] : 8.

OP no:20230505541

45/M

C/O SOB since 1month. (Grade 1)

No palpitations,giddiness,chest pain.

- pain in scrotal sac since  4days. Swelling present since 6months.

Referred to gen.surgery OPD.

[5/4, 10:36 AM]: 14.

op.no20210414264

47/M 

C/O epigastric pain since 3 months palpitations present ,pedal edema present 

 k/c/o hypothyroidism since 4 yrs using thyronorm 

k/c/o DM2 since 6 yrson Glimi M2,HTN since 4 years using amlodipine 2.5mg

Pt was advised admission but patient is not willing to get admitted

[5/4, 10:44 AM]: 12.

OP no:20230505900

30/M

C/O chest pain since 1 

month,dragging type of pain

SOB grade 2( on exertion)

Palpitation(+ve)

H/o trauma 2months back ,injury to chest.

O/E:

RS:BAE present 

Grunting present

Pt was advised admission and further investigations and they are not willing.

[5/4, 10:44 AM]: 13)

op.no20230505898

C/Opainless swelling over thyroid region since 2yrs

no dysphagia moving eith deglutition 

surgical opinion i/v/o swelling

[5/4, 10:50 AM]: 14)

op.no 20210206935

C/O Retrosternal chest pain since 2months,pricking type

K/C/O HTN 

 since 6 yrs on Telma 40mg

K/C/O DM since 5 yrs on gliclazide 80mg and metformin 500mg

advised admission but not willing to get admitted

[5/4, 10:52 AM]: 28/F

Op.no 20210413773

C/O cough since 2 months 

Came for review

[5/4, 10:55 AM]: 18.

OP no:20210210409

60/M

C/o neck pain since yesterday night

no restricted movements , radiating to lower

 backache

Patient was advised admission and they are not willing

[5/4, 11:08 AM]: 20)

Op.no20230506427

40/M 

C/O fever since 3m ,high grade associated with chills

Excessive sleepiness

C/O cough since 2wks

Sputum whitish in colour

Adviced admission bit patient is not willing to get admitted

[5/4, 11:10 AM] : OP no:20210523541

C/O  giddiness since 20days.

Profuse sweating present

 -Fever since 20days,low grade ,relieved on rest.

Ophthalmology opinion was advised,in view of dimension of vision.

[5/4, 11:19 AM]: OP no:20230506484

C/O- B/L breast pain  during menstruation since 2-3months.

A/W  tenderness.

OBG opinion was advised in view of breast pain and tenderness.

[5/4, 11:54 AM]: Op.no.20210511967

41y /M 

C/O tingling sensation in b/l upper and lower limb since 2months

Generalised weakness present

Alcohol intake(weeklyonce)

Advised admission but patient is not willing to get admitted

[5/4, 11:55 AM]: OP no:20230506486

C/O - chest pain ,burning type ,retrosternal associated with left arm pain.

K/C/O hypothyroidism on thyronorm  25mcg

Patient was advised for further investigation and admission ,they are not willing.

[5/4, 11:58 AM]: OP no:20230506457

C/O-chest pain since 1 day (on and off),non radiating,dull aching type.

Patient was advised for further investigation and admission ,they are not willing .

[5/4, 12:03 PM]: Op.no20230506509

55/F

C/O b/l groin pain since 20 days

Burning micturition  and decreased urine output

Patient was advised admission but patient is not willing to get admitted

[5/4, 12:04 PM]: OP no:20230506510

C/o - giddiness since 3months.

No positional variation 

Patient was advised for admission and they are not willing.

[5/4, 12:10 PM]: OP no:20230506513

C/O-cold since 6months.

A/W running nose, watery discharge.

ENT opinion in view of turbinate hypertrophy.

[5/4, 12:12 PM]: Op. No. 20230506511

65/M

C/O swelling of both legs since 4days

Pitting type on and off

H/O similar complaints in the past

K/C/O HTN on medications tab.Atenolol 50mg

Patient was advised admission but patient is not willing to get admitted

[5/4, 12:21 PM]: Op No.20230506552

38y /F

C/O headache since 1yr holocranial  ,neckpain present

C/O nausea and vomiting

Advised admission but not willing to get admitted

[5/4, 12:24 PM]: OP no:20230506586

40/F

 C/o-pain in left scapular region since  10 years aggravated since 2 months.

H/o trauma 10yrs back(fall from bike) 

Tingling/paraesthesia of left UL since 2months.

Orthopedics opinion was advised in view of left scapular region pain

[5/4, 12:37 PM]: Op.on.20230506601

23y/M

C/O chest pain since 6-7months not relieved on taking rest

Not associated with sob/palpitations

Patient was advised admission but patient is not willing to get admitted

[5/4, 12:50 PM]: OP no:20230506591

65/M

C/O- deviation of mouth to left side since 3days.

Weakness of left UL and LL since 3days.

 Slurry speech since 3days.

Similar complaints in the past. 

Patient was advised for admission,they are not willing to get admitted

[5/4, 1:00 PM]: OP no:20230506933

77/F

C/o-pain in hands and legs since one year.

Tingling sensation present.

K/C/O HTN since 20yrs .

On telma 40mg.

Epigastric pain ,belching,abdominal bloating -present.

Patient was advised for admission ,they are not willing to get admitted.

[5/4, 2:22 PM]: Op no.20230506555

42/F

C/O easy fatigability on excersion and palpitations since 3months

Hair loss present

K/c/o HTN since 6 yrson telma 40mg

Patient was advised admission but patient is not willing to get admitted

[5/4, 2:25 PM]: OP no:20230506359

28/F

C/o-neck pain since 6days increased pain since 3 days radiating to shoulder and arms.

Tingling sensation in hands and feet.

H/O trauma behind left ear  6-7months ago.

Referred to ent in view of earache,tinnitus

[5/4, 2:35 PM]: Op. No. 20230507008

80/M 

C/O increased frequency of urine since 5days no burning micturation

C/O throat pain  since 20days

Advised admission but patient is not willing to get admitted

[5/4, 2:39 PM]: 31.

Op no. 20230507002

35/M

C/O headache since 1month associated with nausea and vomiting

Photophobia and phonophobia present

 Patient was advised admission but patient is not willing to get admitted

[5/4, 2:41 PM]: 32)

Op no.20220221210

53/M

K/c/o DM 2 since 6yrs using glimiperide 2mg and metformin 500mg

K/c/o HTN since 14yrs

[5/4, 2:49 PM]: 33.

Op no:20230507004

33/F

C/o- neck pain since  6months.

 Right sided chest pain since 5months.

A/W swelling in axillary region.

 Tingling sensation in right side of body.

Patient was advised admission but they are not willing to get admitted.

[5/4, 3:22 PM]: 34

Op no:20230507052

19/M

C/o- headache for 2 weeks(over temporal region) 

C/O vomitings 2 episodes(non projectile) 

 

Patient was advised admission but they are not willing to get admitted.

[5/4, 4:27 PM] Rakesh Biswas: Summarize:

How many admitted out of 35?

What did we do for those not admitted?

[5/4, 4:51 PM] Keerthi 2021 Kims Pg: no admissions sir

[5/4, 4:51 PM] Keerthi 2021 Kims Pg: only 3 patients were willing for admission but by the time they kept a casesheet they absconded sir

[05/05/23, 9:23:24 AM] ~ Tharunkumar: 1.Op no:20210500513  

61Y/F

C/o knee pain since 2 yrs,non radiating, insidious and gradually progessive 

C/o cough since 2 days a/w sputum whitish,non blood tinged. 

K/c/o hypertension since 7 yrs(telma 40mg)

K/c/o Hypothyroidism since 10yrs

Patient was advised admission and getting admitted.

[05/05/23, 9:27:00 AM] Rakesh Biswas Sir: What treatment or tests were given? 

Please mention that too 

As far as treatment is concerned the patient can be adviced to continue the previous treatment. For tests they need to plan and come with two days of mental preparation for admission

[05/05/23, 9:29:10 AM] Rakesh Biswas Sir: Interns and PGs once freed from the mindless testing work will have more opportunity to interact with their patients and understand their true requirements that may even reflect in their short notes/texts about their patients

[05/05/23, 9:34:06 AM] Deepthi Ma’am : 2.op no: 20210212968

 69 Y/M

Patient came for general health check up 

K/c/o type2 DM since 10years on TAB.GLIMI M2 and TAB .VOGLIBOSE 

Not a k/c/o HTN 

Advised admission but not willing  for admission

[05/05/23, 9:41:44 AM] ~ Tharunkumar: 3.Op no:20230507427

36Y/F

C/o headache since 3yrs in occipital region, on&off, relieved with medication 

Nausea+,phonophobia + 

C/o burning micturition since 2 yrs,on &off  

C/o loin to groin pain since 2 yrs

C/o Neck pain radiating down to spine since 1wk.

N/K/c/o hypertension,DM, epilepsy,thyroid

Patient was advised admission and getting admitted. 

Tests advised- CUE, Cervical spine Ap&Lateral.

[05/05/23, 9:50:30 AM] ~ Tharunkumar: Not willing for admission

[05/05/23, 9:51:21 AM] Deepthi Ma’am : 4.op no20230907434

67/M

C/o diminition of vision in both eyes since 4years

No h/0 headache

No h/o watering of eyes

K/c/o DM since 6 years and on regular medication

 

Patient was advised admission but not willing for admission

[05/05/23, 9:51:24 AM] Rakesh Biswas Sir: The check up needed for a 10 years of diabetes is to assess his 

1) History sequence of events from 10 years 

2) Capture clinical images of visceral fat and muscle mass (preferably standing lateral and ap views) and share it in a case report used to continue his checkup through regular follow up 

3) Gather available Radiology of the patient's problem (anatomic diagnosis) only if indicated. In this case it can be done through clinical examination alone if he's asymptomatic 

4) Available electrophysiology (physio-logic diagnosis) 

Check old ecg 

5) Relevant blood and fluid biochemistry (biochemical diagnosis)

Fbs, ppbs, hba1c ,only if he gets admitted for 1-3

6) Readiness and signed informed consent to create a PaJR group for daily information continuity through a special whatsapp group with a representative image of his problem in the DP 

7) Check his readiness to benefit from our informational summary about his check up (aka case report) and provide signed information to become part of a similar patient project ProJR group description (each and every PaJR is part of a ProJR). ProJR is project journey record that contains many PaJRs

[05/05/23, 9:52:47 AM] Rakesh Biswas Sir: What's the cause for his diminution of vision? Cataract?

Or refractory errors due to uncontrolled blood sugars? Any polyuria or polydipsia (osmotic symptoms suggesting poor control)?

[05/05/23, 10:00:29 AM] ~ Tharunkumar: 5.op no:20230507439  

80Y/M

C/o pain in both lower limbs since 1yr. (Dragging type)

No h/o tingling sensation 

K/c/o DM since 2 yrs and  not on regular medication. 

No h/o polyuria, polydipsia,polyphagia 

Patient was advised admission but not willing for admission

[05/05/23, 10:01:02 AM] Deepthi Ma’am : Cause of his diminition of vision is cataract sir .no history of polyuria and pilydipsia

[05/05/23, 10:02:50 AM] Deepthi Ma’am : Ok sir.

[05/05/23, 10:10:09 AM] Deepthi Ma’am : 6.op no 20210206372

 50/m

C/o pain at right shoulder region since4 days which increased on movement

H/o pain at right and left elbow joint,right and left wrist region 

H/0 pain at bilateral knee region  since 1 week

K/c/o type2 DM since 1 month and not on any medication 

Patient was advised admission but not willing for admission

[05/05/23, 10:14:16 AM] ~ Tharunkumar: 7.op no: 20210413773 

29Y/F 

C/o cough since 2 months alw sputum whitish present throughout the day more at night.  

CBNAAT -Negative 

Sputum for AFB/GS- Normal flora

During pregnancy diagnosed hypothyroidism on thyronorm 2.5mcg stopped after delivery.  

Patient was advised admission but not willing for admission.

[05/05/23, 10:19:00 AM] Deepthi Ma’am : 8.op no 2021056545

33/ f

C/0 generalised body pain since 1month

Patient came for follow up , h/o hypothyroidism since 3years  on TAB THYRONORM 25 mg

No h/o fever, decreased appetite

No h/0  irregular menatrual cycles no h/o DM ,HTN

Patient was advised admission and not willing for admission

Tests advised: T3,T4,TSH

[05/05/23, 10:20:40 AM] ~ Tharunkumar: 9.op no:20230507441  

45/F

Came for general checkup 

K/c/o type 2 DM since 1yr.  

On medication metformin 1000mg and glimiperide 2mg

C/o tingling sensation in both hand&feet since 1 yr. 

Patient was advised admission but not willing for admission

[05/05/23, 10:26:15 AM] ~ Tharunkumar: 10.op no: 20230507856 

75/M 

C/o breathlessness since 10days not a/w wheeze 

Orthopnea+ 

Pedal edema + since 3 days extending upto knee 

Abdominal distension+ 

K/c/o CAD underwent stenting 13 yrs back

Not k/c/o DM,HTN

Patient was advised 

admission and getting admitted

[05/05/23, 10:28:11 AM] Rakesh Biswas Sir: @919491489659 ProJR

[05/05/23, 10:37:35 AM] Deepthi Ma’am : 11.op no20230507444

60/F

C/o generalized body pain since2years

C/0 burning sensation of lower limbs since 1 year

No h/0 polydipsia ,nocturia, burning micturition ,fever

K/c/o-DM since 1year  

And HTN since4 years

 Patient advised admission and not willing for adnission

[05/05/23, 10:47:49 AM] ~ Tharunkumar: 12.op no:20230507858 

37/M 

C/o weakness in both upper and lower limbs since 10days 

C/o difficulty in mixing food 

C/o difficulty in buttoning and unbuttoning shirt 

C/o difficulty in getting up from squatting position 

H/o alcohol consumption since 20yrs (>180ml) 

Withdrawal tremors + 

Power -4/5 in all four limbs 

Reflexes- B T S A K P absent 

Patient was advised admission and getting admitted

[05/05/23, 11:04:21 AM] ~ Tharunkumar: 13.op no: 20230507455 

85/M

C/o burning micturition since 3months

No urgency, hesitancy, frequency  

C/o generalized body pains since1 month 

Pedal edema +

K/c/o PTCA+DES to LAD and RCA  

AKI on CKD underwent 2HD 

N/k/c/o DM and HTN 

Patient was advised admission but not willing for admission

[05/05/23, 11:09:33 AM] Deepthi Ma’am : 14.op no 20230507436

60/M

 

C/opedal edema since 2days

Subsiding on taking rest

No h/o  sob

No h/0 burning micturition

No h/o abdominal pain

No h/o fever 

H/0 HTN since1 year

 Patient was advised admission but not willing for admission

[05/05/23, 11:22:52 AM] ~ Tharunkumar: 15.op no 20230507879 

65/F

H/o swelling over parietal region(?cyst) 13 yrs back underwent local excision 

Thereafter c/o pain at that site.

C/o neck pain since 1.5 month radiating to b/l shoulder region  

Giddiness - 

Photophobia - 

Phonophobia -

Vomiting -

Underwent cataract surgery of both eyes 7 yrs back

Patient was advised admission to get x-ray cervical spine but not willing for admission

[05/05/23, 11:29:47 AM] ~ Tharunkumar: 16.op no 20230507888 

36/M

 

C/o body pains since 3 days 

H/o fatigue and myalgia 

N/k/c/o DM ,HTN, epilepsy, thyroid 

Patient was advised admission but not willing for admission

[05/05/23, 11:32:04 AM] Deepthi Ma’am : 16. Op 20230507875

70/M

C/o giddiness since 20days

C/o blurring of vision on and off

C/o  burning sensation in epigastrium since 3months

No h/o  chestpain, palpitation,orthopnea,pnd,sob

 K/c/o CVA  1year back ,left hemiparesis infarct in thalamo capsular parieto temporal region

K/c/o HTNsince1year (not on medication)

K/c/0DM since 1year on METFORMIN 500mg 

K/c/o epilepsy since 1year

 Patient advised for admission amd not willing for admission

[05/05/23, 11:39:04 AM] Deepthi Ma’am : 18 op no 2023050832

15 / F

C/o headache  more pn the occipital region 

C/0 watering of eyes

H/o irregular menstrual cycles

Patient advised admission  but not willing for admission

[05/05/23, 11:39:22 AM] ~ Tharunkumar: 19.op no 20230507885 

46/F

C/o neck pain since 6 months radiating to b/l shoulder region a/w tingling sensation in left upper limb.  

H/o spondylosis present 

K/c/o HTN since 4 months not on medication since 1 month 

Patient was advised admission but not willing for admission

[05/05/23, 11:48:50 AM] Deepthi Ma’am : 20.20230507883

43/M

C/o pain in right upper arm and forearm ,tingling sensation of fingers

No h/o trauma 

No h/o neck pain

K/c/o DM since 4years

N/k/cO of HTN 

Patient advised admission not willing for admission

[05/05/23, 11:48:56 AM] ~ Tharunkumar: 21.op no 20210218352

42/M

C/o pain in left hypochodrium region since 10days 

C/o pain in left loin region    

C/o decreased appetite 

C/o passing hard stools 

C/o heaviness in chest region and palpitations 

H/o consumption of toddy daily (lastly 2 days back)

Not k/c/o DM,HTN 

Patient was advised admission but not willing for admission

[05/05/23, 11:57:29 AM] Deepthi Ma’am : 22.20210517642

28/F

C/o chest tightness

C/0 difficulty in swallowing in throat since 1week

Patient advised admission not willing for admission

[05/05/23, 12:01:57 PM] ~ Tharunkumar: 23.op no  20230508485

19/M 

C/o pain in sternal region since yesterday tenderness+ 

No breathlessness no radiation. 

Increased on bending adduction internal rotation and external rotation of both shoulders 

Patient was advised admission but not willing for admission

[05/05/23, 12:08:47 PM] ~ Tharunkumar: 24.op no 20230508428 

58/M 

C/o abdominal distension since 9 months  

No SOB,chest pain, palpitations,orthopnea,PND 

No fever, burning micturition 

N/k/c/o DM & HTN

[05/05/23, 12:11:23 PM] ~ Tharunkumar: Patient was advised admission but not willing for admission

[05/05/23, 12:12:41 PM] ~ Rithika: 25. Op no 20230508456

19/F

Complaints of vomitings two episodes since yesterday night

Complaints of pain in left elbow joint and knee joint

Food as content in vomiting , non bilious , non projectile, no foul smelling, no loose stools

No abdominal pain, no fever ,no outside food intake

Patient was advised for admission but not willing.

[05/05/23, 12:14:29 PM] Deepthi Ma’am : 26op no20230508380

82/M

C/0 tingling and numbness in toes

K/c/o DM since 2 years  on medication   ( TAB METFORMIN)

K/c/o HTN (TAB AMLODIPINE) patient advised for admission and  not willing for admission

[05/05/23, 12:24:37 PM] Deepthi Ma’am : 27.

Op no 20230508531

C/o sob since 4 days

C/o fever on and off since 4 days

C/0 headache 

No h/0 cough

N/k/c/o DM ,HTN

No h/0 burning micturition

No h/o abdminal pain ,vomitings

Patient advised for admission and not willing for admission

[05/05/23, 12:26:26 PM] ~ Tharunkumar: 28. Op no 20230500479 

57/F 

C/o back pain since 3 years 

C/o leg pains since 3yrs 

K/c/o CKD since 1 yr 3 HD done 

K/c/o HTN since 5yrs on T.CLINIDIPINE 10MG 

N/k/c/o DM, epilepsy,Tb 

Patient was advised admission but not willing for admission

[05/05/23, 12:36:26 PM] ~ Rithika: 29.op no 20230502986

55  male

Complaints of swelling of bilateral limbs since one week

Swelling developed on prolonged sitting but not relieved after rest

History of similar complaints in the past while travelling by bus 2 years back relieved on its own after taking rest

Pedal edema Present, pitting type

K/c/o hypertension since six years on regular medication

Known case of diabetes mellitus since 10 years and on regular medication

Patient was advised admission but not willing

[05/05/23, 12:49:09 PM] Deepthi Ma’am : 30. 

Op no 20230508426

60/M

C/o pedal edema both legs and ulcers in both feet

Burning sensation of feet

K/c/o DM since3 years

K/c/o HTN since 6months

Patient advised admission and not willing for admission

[05/05/23, 2:36:11 PM] Deepthi Ma’am : 31

Op no20230508514

47/F

C/o joint pains early morning since 2days

C/o dyspnea on exertion

Pedal edema

No h/o fever , burning micturition,abdominal pain , vomitings

Past h/o hysterectomy 

Patient advised admission and not willing for admission

[05/05/23, 2:52:26 PM] Deepthi Ma’am : 32.op  no 20230508958

26/ F

 C/o headache Right side since 2days

C/o photophobia 

Lacrimation of right eye

No h/o nausea ,vomitings

No h/o giddiness , fever, burning micturition , sob , chestpain ,palpitations

N/k/c/o DM ,HTN, epilepsy, thyroid disorders 

Patient advised admission and not willing for admission

[05/05/23, 3:02:33 PM] Deepthi Ma’am : 33. Op no 20230508997

45/M

C/o neck pain since 10days

Dragging type ,non radiating

H/o fever since 1week (on and off)

No h/0 burning micturition,sob ,chestpain,pain abdomen,orthopnea,pnd

K/c/o HTN since 10days

N/k/c/o DM,thyroid ,epilepsy

Patient advised for admission and not willing for admission

[05/05/23, 3:05:08 PM] ~ Rithika: 34

Op no. 20210427000

67/f

Complaints of sob grade 2 - 3 since 1 week

complaints of cough and cold since 4days

Complaints of low grade fever since one week

Complaints of swelling of both legs since 1 week

No chest pain, palpitations present occasionally,no orthopnea , pnd , no decreased urine output

Patient advised admission but not welling

[05/05/23, 3:14:37 PM] ~ Rithika: 35

Op no 20230508997

45/M

Complaints of neck pains since 10 days, dragging type , non radiating not associated with headache 

History of fever since one week on and off,low grade ,not ass with chills and rigor

Known case of hypertension since one week on regular medication 

Patient advised admission but not willing

[05/05/23, 3:19:57 PM] ~ Rithika: 36 

op no 20230509059

57  /M

Complaints of loose watery stools 4 to 5 episodes/ day since 1 month not associated with pain abdomen

Complaints of weakness since 1 month

No history of fever

Patient advised admission but not willing

[05/05/23, 3:23:19 PM] ~ Rithika: 37

Op no.20230509024

45/M

Complaints of chest pain since4 days

Complaints of tingling sensation in upper limbs lower limbs since 4 days

Known case of hypertensions since 2 years on regular medication

[05/05/23, 3:23:35 PM] ~ Rithika: Patient was advised admission but not willing

[05/05/23, 3:27:59 PM] Deepthi Ma’am : 38.

Op 20230509031

55/F

 Giddiness since 5days associated with sweating and increased standing and sitting from sleeping posture 

 H/O lap chloecystectomy 5months back 

Advised for admissionbut patient is not willing to get admitted

[05/05/23, 3:40:51 PM] ~ Rithika: 39

Op no.20230508437

50/F

Complaints of generalised body pain since one year

Complaints of burning sensation in the epigastrium on consumption of spicy food

Complaints of burning micturition on and off since 2 years

No history of fever, cold,cough, abdominal pain

Patient was advised for admission but not willing

[05/05/23, 3:56:28 PM] ~ Rithika: 40

Op no.20230438261

45/M

Complaints of tingling and numbness since 1 year in lower limbs

Polyphagia present

No history of polyuria,polydypsia,nocturia

K/c/o type 2 dm since 1 year on and off and on regular medication

Patient was advised admission but not willing

[05/05/23, 8:25:19 PM] Rakesh Biswas Sir: Thanks. How many admitted from opd today?

[05/05/23, 10:41:17 PM] Rakesh Biswas Sir: Who were the PGs on opd duty today ?

[05/05/23, 10:41:28 PM] Rakesh Biswas Sir: 👆

[05/05/23, 10:41:45 PM] ~ Keerthi Madireddi:sir

[05/05/23, 10:43:27 PM] Lohith Pg Gm : 4 admissions from OP sir

6th May 2023,Saturday 

[06/05/23, 9:34:34 AM] ~ Dr.ramyareddypebbeti: 1.

Op no.20230509700

26/M

Complaints of chest pain since 2 days 

Bloating present 

Complaints of burning sensation in the epigastrium on consumption of spicy food

No h/o SOB and palpitations 

No history of fever, cold,cough, abdominal pain,belching 

No h/o regurgitation of food 

Patient was advised for admission but not willing

[06/05/23, 10:04:45 AM] ~ Dr.ramyareddypebbeti: 2.

Op no: 20210518263

53/F

Complaints of B/L pedal edema since 1 week 

Facial puffiness since 1 week

C/o SOB since 1 month (grade-2)

H/o polyuria and nocturia present 

K/c/o HTN ,Dm since 2 years (on regular medication)

Patient was advised for admission but not willing

[06/05/23, 10:06:42 AM] ~ Vaishnavi: 3.op no 20210205942

H/o pedal edema  2months back

Was diagnosed with liver infection

K/c/ o CAD -PTCA DONE 2 YRS BACK

Now no fresh complaints came for follow up for getting investigation 

Pt is not willing for addmission

[06/05/23, 10:09:38 AM] ~ Dr.ramyareddypebbeti: 4.

Op no: 20210518264

36/F

C/O B/L knee pain since 3 months 

H/o difficulty in getting up from sitting position 

Not a k/c/o HTN,DM,Thyroid,CVA

Patient was advised for admission but not willing

[06/05/23, 10:11:48 AM] ~ Vaishnavi: 5.Op no 2023500720

Pt came for general check up 

Not a k/c/o dm,htn,cvs,cad,tb, asthma, epilepsy

Pt is not willing for addmission

[06/05/23, 10:14:30 AM] Rakesh Biswas Sir: No testing. 

Please explain to patients that it's not that we are not testing because they are not getting admitted. 

We are not testing them because without a good history taking and clinical examination it's largely unnecessary. 

We are asking them to get admitted 'so that we can give them more time to do a better focused history taking and clinical examination and then order tests if necessary

[06/05/23, 10:44:20 AM] ~ Vaishnavi: 6.op no 20230509802

26 M

C/o involuntary movements of both upper lateral since 1 year intially started with left u/l and started in rgt since 5-6 months 

Involuntary movements of neck since 4 yr

Pt is admitting

[06/05/23, 10:53:53 AM] ~ Vaishnavi: 7.op no 20230508531

24F

C/o sob since 4days on exertion,fever (on and off), headache since 4days

Pt is admitting

[06/05/23, 10:56:14 AM] Rakesh Biswas Sir: Pt is admitting whom?

[06/05/23, 10:57:48 AM] ~ Vaishnavi: Pt is getting admitted sir

[06/05/23, 11:24:53 AM] ~ Dr.ramyareddypebbeti: 8.

op no :20230510250

59/M

C/o abdominal discomfort since 2 months (on and off)

C/o generalised weakness since 1 year 

C/o fever associated with body pains since 3 days 

No c/o belching ,constipation 

K/c/o HTN since 30 years (on regular medication-Tab.Telma-40)

Patient is not willing for admission

[06/05/23, 11:45:16 AM] ~ Dr.ramyareddypebbeti: 9.

Op no: 20210425171

56/F

Complaints of fever since yesterday night associated with chills and rigors and body pains 

C/o cold ,cough (non productive)

C/o nausea since yesterday 

K/c/o HTN since 19 (on tab.ramipril2.5mg)

and DM since 16 years (on regular medication tab.Glimi -m1 )

Patient was advised for admission but not willing

[06/05/23, 11:54:38 AM] ~ Dr.ramyareddypebbeti: 10.

Op no:20230510267

40/F

C/o lower back pain since 10days(dragging type )

C/o tingling sensation of B/L lower limbs since 1 month

K/c/o type 2 DM since 6 months (on regular medication Glimi -m1)

Not a k/c/o HTN,TB ,asthma ,cva

Patient is not willing for admission

[06/05/23, 12:07:04 PM] ~ Dr.ramyareddypebbeti: 11.

Op no: 20230510307

38/F

C/o headache (frontal region)since 1 year 

Associated with neck pain and radiating to both upper limbs 

C/o facial puffiness since yesterday night 

C/o low backache since 1 year 

And Tingling and numbness of both lower limbs 

Not a k/c/o HTN,DM,thyroid,epilepsy,CAD

[06/05/23, 12:40:39 PM] Rakesh Biswas Sir: Only 11 patients till now?

[06/05/23, 12:45:03 PM] ~ Dr.ramyareddypebbeti: 12.

Op no:20230510345

67/M

C/o generalised body pains since 10days

Reduced urine output since 10days

Pedal edema since 3 days

Not a k/c/o Htn,DM ,TB ,Epilepsy 

Patient is getting admitted sir

[06/05/23, 12:49:59 PM] ~ Dr.ramyareddypebbeti: 13.

Op no:20210312142

24/M

C/o chest pain since 1 week

Insidious in onset ,lasting for 20mins ,radiating to left hand scapula ,relieving spontaneously 

No h/o cough ,fever and cold 

Not a k/c/o HTN,DM,epilepsy,asthma ,TB

[06/05/23, 12:50:30 PM] ~ Dr.ramyareddypebbeti: Not willing for admission sir

[06/05/23, 12:54:20 PM] Rakesh Biswas Sir: Only 13 patients seen in opd till now? Share the sister's opd register

[06/05/23, 12:58:05 PM] ~ Dr.ramyareddypebbeti: 14.

Op no:20230510341

33/M

C/o pain in lower back region since 1 week

C/o burning micturition since 1 week associated with increased frequency of micturition 

No h/o Fever 

Not a k/c/o Htn,DM,TB ,epilepsy,cva 

Patient is advised for admission but not willing

[06/05/23, 1:06:58 PM] ~ Dr.ramyareddypebbeti: 15.

Op no :20230510343

16/M

C/o eating of raw rice and mud since 3 years 

C/o lethargic behaviour since 2-3 years (on and off)

No h/o decreased appetite 

No h/o palpitations ,generalised weakness 

Not a k/c/o HTN,DM,thyroid ,TB,epilepsy

patient is advised for admission but not willing

[06/05/23, 1:12:57 PM] ~ Dr.ramyareddypebbeti: 16.

Op no:20230510344

55/M

C/o cold since 4 days associated with sneezing 

c/o cough since 4 days (non productive)

No h/o Fever ,headache 

Not a k/c/o Htn, dm,TB,asthma 

Patient is not willing for admission

[06/05/23, 1:13:34 PM] ~ Dr.ramyareddypebbeti: Some cases are yet to be seen sir

[06/05/23, 2:20:31 PM] Rakesh Biswas Sir: Which means only 16 cases seen since morning?

[06/05/23, 2:29:38 PM] ~ Vaishnavi: 17.op no  20210125203

87 m

C/o difficultly in breathing for walking 100 mts since 10 days 

C/o chest pain in left side non radiating since 4-5days

H/o pedal edema 10days back relieved on medication h/o fever 

Not a k/c/o dm,htn,tb,asthma

Pt is advised for admission but not willing

[06/05/23, 2:36:58 PM] ~ Vaishnavi: 1 causality case admission

90 yr old male with altered behaviour

[06/05/23, 2:44:57 PM] Rakesh Biswas Sir: The one who was discharged recently?

[06/05/23, 2:47:38 PM] ~ Vaishnavi: 18.op no 20230510353

27F

C/o tingling sensation in both palms and feet since 3months 

H/o chest pain left side intermittent in nature 1month back ,sob present on climbing stairs since 5months 

Pt is advised for admission but not willing

[06/05/23, 2:51:04 PM] ~ Vaishnavi: No sir it is new case he previously came to our hospitals with same complaint in 2021 where MRI ,CSF Examination done where metabolic causes are ruled out.

[06/05/23, 2:53:33 PM] ~ Vaishnavi: 19.op no 20230510847

26F

Pt came with c/o blunt head trauma since 3 months (3times in the last 6months)

No h/o nausea, vomiting

No ent bleed

No h/o loss of consciousness

Pt is advised for admission but not willing

[06/05/23, 4:07:49 PM] Rakesh Biswas Sir: Only 19 patients today seen IN opd ?

[06/05/23, 4:10:33 PM] Rakesh Biswas Sir:?

7th May 2023,Sunday

[07/05/23, 6:56:14 AM] Rakesh Biswas Sir: How many patients seen in opd yesterday? Who was on duty? 

[07/05/23, 7:07:03 AM] Lohith Pg Gm : Only 19 patients were seen in the OP yesterday sir, 

maybe because it was Saturday, there were less patients 

Out of them two were admitted 

And one admission from casualty 

  sir were there in the OP yesterday

[07/05/23, 10:32:49 PM] Rakesh Biswas Sir: Please share the links to the PaJR groups of the two patients admitted yesterday. How many more later admitted overnight?

[07/05/23, 10:41:25 PM] Lohith Pg Gm : Two from OPD and One case from casualty was admitted sir