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.
A 62 year old male came to the OPD with chief complaints of
CHIEF COMPLAINTS:
Pedal edema since 1 month
Decreased urine output since 1 month
Fever since 3 days
HISTORY OF PRESENTING ILLNESS:
Patient was apparently asymptomatic 3 years back then developed pedal edema, shortness of breath, fever, cough and was admitted in a private hospital hyd and diagnosed as renal failure.
In February 2022 patient came to kamineni Narketpalli with chief complaints of shortness of breath and decreased appetite and undergone dialysis under 3 sessions and was on conservative management.
In November 2022, patient came with similar complaints and undergone dialysis here
Now he developed pedal edema since 1 month which is pitting type and complained of fever since 3 days which is continuous ,high grade and associated with chills and rigor.
H/o nausea, vomiting, anorexia on 4th jan night.
Vomiting is non projectile, non bilious, non blood tinged contained food particles associated with nausea in 2-3 episodes.
H/o decreased urine output since 1month
No h/o burning micturition, pain abdomen.
H/o abscess over left medial and infra gluteal region 1 year back.
Came for dialysis ( no regular follow up)
Timeline of events:
PAST HISTORY:
K/C/O Diabetes since 3 years
K/C/O Hypertension since 3 years and on medication for both
Patient had a history of knee injury 3 years back for which he undergone surgery.
N/K/C/O CAD, epilepsy, asthma, Tuberculosis.
No history of any blood transfusions.
FAMILY HISTORY: No significant family history
PERSONAL HISTORY:
DIET: Mixed
APPETITE: Decreased
SLEEP: Adequate
BOWEL MOVEMENTS: Regular
BLADDER MOVEMENTS: Decreased urine output
ADDICTIONS: Drinks toddy occasionally
GENERAL EXAMINATION:
Patient is conscious, coherent and cooperative Well oriented to time, place and person
November 03, 2022 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. CASE: 17 year old female complaints of vomitings and loose stools since 1week CHIEF COMPLAINTS: Vomitings since 1week Loose stools since 1week Fever since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic One week back,she had outside food followed by which she developed loose stools and vomitings. Loose stools:- 4-5episodes, water in consistency, non foul smelling, no blood tinged. Vomitings:- 4-5 episodes, non projectile, non bilious,non foul smelling contents include food particles,Which subsided on taking medication, Fever was incidious in onset, associated with chills and rigo
OP COMPOUND POISONING This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box A 65 year old male patient came to casualty with Consumption( profenofes) OP compound around 40 ml on 3/2/21 at Chityala Patient was brought to casualty at 4.30 p. m. On 3rd feb H/o 2episodes of vomitings No h/o involuntary micturition/loose stools 7th feb He also complained of left leg pain He also complained of dry cough and chest pain PAST HISTORY N/k/c/o DM,HTN,CAD,Asthma PERSONAL HISTORY Diet:mixed Appetite:normal Sleep: adequate Bowel and bladder mov
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE 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. Pt was brought to casualty with c/o fever and Pain abdomen since 26/1/24 and c/o vomitings since 27/1/24. HISTORY OF PRESENTING ILLNESS: Pt was apparently asymptomatic 5days back i.e.,(25/1/24) the
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