A 55 year old female presented to the opd with sweating, yellowish discolouration of the sclera and generalised weakness.

 E LOG GENERAL MEDICINE.

Hi, I am G Sai Karthik, 3rd Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio.

  • This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.
  •  * This is an ongoing case. I am in the process of updating and editing this ELOG as and when required




                                   CASE SHEET.                                  

Chief complaints and duration.

A 55 year old female presented to the opd with yellowish discolouration of the sclera, sweating and generalised weakness.

History of present illness.

Patient was asymptomatic 20 days back, and suddenly developed fever with burning micturition associated with yellowish discolouration of tongue, sclera and skin. 

She came to our hospital for the same and was advised admission but attendants didn’t want to get admitted.

She was prescribed medicines and went back home 

She started using herbal medicines every Monday, skipping anti hypertensive and anti diabetic medication for 3 days

On 17th night, she was normal, slept after dinner, woke up at 2 am for urination but couldn’t pass urine. She went back to sleep and woke up at 5 am when she started developing sweating, weakness and voice drop. 

She presented to the hospital in  a semi conscious state



History of past illness.

Diabetic since 5 years 

Hypertension since 5 years.

No TB

No CAD

No Syphilis

No Asthma

Family history.

No significant family history 

Allergies.

No allergies

Drug history. 

Using  medicines for Diabetes and hypertension 

Personal history.

Patient was previously a agricultural labourer by occupation.    

Appetite is normal

Mixed diet

Bowel movement is regular.

Normal urine output

Occasional Smoking stopped 6 years back because he was having puffiness in face

Occasionally drinking andTobacco chewing stopped 6 years back

Sleep was adequate

PHYSICAL EXAMINATION.

A. General Examination  

Semi Conscious, incoherent 

Well built

Pallor is absent.

Icterus is present

No cyanosis

No clubbing of fingers

No lymphadenopathy

Vitals : 

Temperature: 96.6 F

Pulse: 92

Respiration: 22/min

Blood pressure: 110/70 mmhg  

Spo2: 90%











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