Medicine casestudy

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. I have been given this case to solve in an attempt to understand the topic of  " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. UNIT 1 ADMISSION A 45 yr old female pt came with cheif complaints of fever with chills since 3 days Hopi - pt was apparently asymptomatic 3days back then she developed high grade fever associated with chills ...

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of  " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. Unit 1 admission A 20 yrs old male patient daily laborer  by occupation came to casuality with cheif complaints  fever  since  yesterday , head ache since yesterday Patient was apparently a...

                   50 YR OLD FEMALE CASE A 50yr old female,farmer by occupation, resident of suryapet came with chief complaints of weakness in left upper and lower limbs since 3 days. History of present illness: Patient was apparently asymptomatic 3 days back ,then she developed dizziness which was sudden in onset .Then she developed weakness in her left upper and lower limbs followed by fall.Weakness was sudden in onset and progressed rapidly to a state where she was unable to move her left lower limb and left upper limb.It was associated with drooping of angle of mouth on left side ,with speech difficulty and there was deviation of mouth to the right side, associated with drooling of saliva. It was not associated with loss of consciousness,loss of memory, seizure activity, behaviour abnormalities, bowel or bladder incontinence or visual disturbances. No H/o fever,nausea,vomiting,headache,chest pain and dyspnea. Past history: No simila...

  This is an online e logbook to discuss our patients de identified health data shared after his guardian informed consent . A 45 yr old male patient resident of Nalgonda, labourer by occupation came with chief complaints :   . Pedal edema since 10 days . Shortness of breath since 10 days .  Decreased urine output since 5 days .   Fever since  5 days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 days ago .then  he developed , - bilateral pedal edema  since 10 days which is insidious in onset , gradually progressive, which is pitting type - shortness of breath since 10 days = insidious in onset , non progressive, aggrevated on walking, excercise, relieved on sitting. - fever since 5 days insidious in onset , intermittent not associated with  chills and rigor, head ache, vomiting fever not associated with chills & rigors. - history burning micturition, oliguria since 5 days - no history of sweating, chest pain...

  G SAI TEJASWINI ROLL NO: 61 I have been given this case in an attempt to solve in attempt to understand the patient's clinical data analysis to develop my competency in reading and comprehending including history, clinical findings, examination, investigations, and plan of treatment  The complete details of patient are given in this linkhttps://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1st patient: Analysis of the case: 1.What is the reason for this patient's ascites?  A. The  probable reasons would be- As he is chronic alcoholic - may be the reason for cirrhosis of liver leading to liver failure may lead to decrease in albumin  causing ascites.Alcoholism causes vitamin deficiencies and malnutrition( decreased protein) this also may cause ascites.there are small renal calculi which may cause proteinuria  leading to less albumin in serum causing ascites , patient has cholelithiasis (6mm ) it may cause liver damage leadin...

 G SAI TEJASWINI ROLL NO 61 I have been given this case in an attempt to solve in attempt to understand the patient's clinical data analysis to develop my competency in reading and comprehending including history, clinical findings, examination, investigations, and plan of treatment  The complete details of the patient's history  https://alekyatummala.blogspot.com/2020/09/45-yr-female-with-anasarca.html?m=1  are given this case The main complaints of the patient are - 1. Pedal edema pitting type 2. Generalized edema 3. Shortness of breath at rest (NYHA grade 4) 4. Chest pain on the right side 5. Anuria  Causes of generalized edema : 1.Heart failure  2.cirrhosis of liver 3.kidney disease 4.hypoalbuminemia 5. Drug-induced edema 6. nutritional origin what is the anatomical and etiological diagnosis of the patient : anatomical diagnosis- kidney injury etiological diagnosis-nephropathy due to diabetes, hypertension what are the reasons for : azotemia  is a ...