General Medicine blog

 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. Cheif complaints: 70 Year old female patient presented to OPD with the cheif complaints of sob since 5 days and also complaints of vomitings since morning, loose stool 2-3 episodes. HISTORY OF PRESENT ILLNESS

 A 35 year female, resident of manipaka, came to casualty with the Cheif complaint of b/l pedal edema since 20 days,decreased urine output since 20 days,Facial puffiness , shortness of fever spike +, 10 days back, not associated with chills and rigor, subsided on taking medication.Complaint of cough with expectoration, yellowish in colour, HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 2 months back then she developed chest pain for which she visited local hospital in miryalaguda , on evaluation she was diagnosed to have chronic kidney disease and low hemoglobin, 2PRBC Transfusions were done  After PRBC transfusion she developed b/l pedal edema, which subsided on medication., 20 days back she developed b/l pedal edema, reduced urine output, sob a/w orthopnea,and facial puffiness.  10 days back she developed fever a/w chills and rigor, which subsided on medication. 1 PRBC transfusion done in Nalgonda hospital yesterday. Known case of HTN since 3 year's PAST HISTORY:

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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. 36year old male patient presented to casuality with the cheif complaint of loose stools  History of present illness : patient was apperantly asymptomatic 1year ago and experienced blurred vision due to his prof