E- LOGS OF MEDICINE

 Medicine has always fascinated me...involving a lot of integration and every time while taking a case....i have learnt something new and added new perspectives into me looking into the diseases and their presentations...it was challenging without having a direct in person history taking with the patients, but we had telephonic conversations with the patients to take their history and subsequently document elogs or online case logs. I  recall the case of an old lady who came  to us by consuming rat poison and cpr was being done in the background  and she eventually passed away infront of us... thats when i understood the importance and procedure of CPR. Well delving into my learning experiences from the cases that i have seen    https://pranathi105.blogspot.com/2022/09/60-year-old-male-with-multiple.html?m=1 This is a case which has actually made me integrate the various clinical concepts which till then i never got a chance to apply on real case scenario... Well, this is a case of a 6

A  65/yr Male  came  the casuality with the  Chief complaints of bilateral nasal bleeding since 1 week HOPI: Patient was apparently asymptomatic 1 week and  then he developed  B/L  nasal bleeding, sudden onset, profuse,  Subsided after going to RMP and taking medication. Later startedt bleeding again after 1 day and at present he had bleeding from 1 Am  on 8/6/23 sudden in onset, profuse and not subsiding.  Patient went to outside hospital and merocele packing was done. Yet the bleeding was not subsided so they referred .  Patient was N/k/c/o HTN, DM, asthma, CAD.  No H/o of nasal pricking No H/o of antiplatelet medication.  No H/o bleeding and clotting disorders.  Past History: H/o of similar complaints in the pastpast in summer season (4yrs back)  No past surgical History PERSONAL HISTORY :- Marital status : married  Diet : mixed  Appetite : normal Bowel and bladder: regular Sleep : adequate Addictions :  Alcohol :consumes 90 ml whiskey daily since : 10 yrs Beedi smoking occasionally