Nikitha reddy

  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 21 October 2021 A 60 yr old male who is a farmer by occupation came to the OPD for the dialysis diagnosed as kidney failure 1 1/2 back . He went to local hospital and was diagnosed with renal failure( serum creatinine 3mg/dl) Chief complaint: patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : •Pedal edema  • Anorexia  • Fever  • Dyspepsia  •  Insomnia  • Serum creatinine levels - increased (2 mg /dl)  • Decreased urine output  Presently on dialysis on MHD  HISTORY OF PAST ILLNESS :  On dialysis since 1 ...

  This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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 a diagnosis and treatment plan. Following is the view of my case CASE : A 45 year old male patient with swelling over legs and abdomen since 3 months and back pain since 1 month  HISTORY OF PRESENTIMG ILLNESS  •Pt was apparantly asymptomatic 13 years back then he had episode of loss of consciousness with  bit...

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 CHIEF COMPLAINT - Involuntary movements of upper and lower limb at night. - One episode at 10 pm - Subsided in few minutes, and other episodes in between 2am- 5am with intermittently regaining       consciousness in between. -Seizures were tonic type involving all four limbs with deviation of mouth and uprolling of eyes, frothing and involuntary micturition. -She presented to casuality with confused state. HISTORY OF PRESENT ILLNESS -She is a resident of beemavaram village and has with 2 children , her husband left her 15 years ago, he was a chronic alchoholic.  -Since then she was in depressi...

 Case history Date of admission : 2/08/2021 60 year old female resident of Hyderabad presented to the opd with chief complaint of burning micturation since 2 weeks History of present illness: Patient was apparently asymptomatic or normal -14 days back then she developed lower backpain -followed by fever, shievering -Slowly raised sugar levels and blood pressure -followed by weakness and burning micturation past history : - From 6 years buring micturation is recurrent for every 6 months -She undergone histerectomy before 20 years -No history of trauma -No history of epilepsy -She has diabetes from 25 years Personal history : - Appetite : less - diet: mixed -addictions: No - bowel and bladder movements : Normal Family history: -No history of similar complaints in family members Treatment history: -No history of drug allergy General examination: - Patient is coherent,  conscious,  well oriented, cooperative, normal built and nourishment  - Pallor: present -No icterus -N...