Akanksha poddaturi

 A 55yr old female , home maker came to the hospital for maintenance  hemodialysis  Pt was apparently asymptomatic 4 years back then she had fever and decreased appetite for which she went to outside hospital,and diagnosed with Grade 2 RPD and her creatinine was 3.5gm/dl In 2021, she took unani medications,her creatinine came down from 3.5 to 3.1 gm /dl after which she discontinued taking medications. In 2022 Jan,her creatinine was 4.5gm/dl and so adivsed dialysis. She underwent 6 sessions of dialysis, later her 3 way femoral line came out , from which she had lot of bleeding, and then diagnosed with DVT of right lower limb,Heparin was given then.Presently, she is on warfarin.Now, she came to hospital for maintenance hemodialysis. PAST HISTORY- Known case of Diabetes mellitus , since 10 years, onTab.Glimiperide,  Known case of Hypertension , since 10 years,on Tab  Metoprolol, T.LASIX 40mg PO BD T. OROFER-XR PO OD Personal history Sleep- Adequate  Appetite- decreased Diet- mixed Bowel m

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 40yr old male came to opd with complaints of Giddiness, slurring of speech , parasthesia and weakness of left upper and lower limb , difficulty in swallowing, Diplopia (Binocular) , hyperacusis left aural fullness since 1week  HOPI  Pt was apparently asymptomatic 1week back , then he had sudden onset of weakness of left lower and upper limb associated with slurring of speech and giddiness at around 2pm 1week back  Pt had history of polio since childhood ,6 months of age  He used to walk on B/L upper limb since childhood  Weakness- sudden onset of left lower and upper limb , unable to roll on bed, unable to walk on upper l

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.     68 year old female patient came with complaints of SOB since 3 days  HOPI   Patient was apparently asymptotic 3 years ago then she had shortness of breath and diagnosed with CAD and PTCA was done to LAD 

  80 yrs old Male came to casualty with  C/O loss of consciousness (for half an hour) C/O involuntary bowel and bladder incontinence and slurred speech since 4am today(19/12/21) HOPI Patient was apparently asymptomatic till 4:00am today got up from bed and walked to washroom ,while walking near the door at 4:00am,patient slipped and fell on the ground-sustained injury to back and head. He had loss of consciousness for half an hour and then regained.Conscious spontaneous with no involuntary movements,froth from mouth. H/O involuntary micturition and defecation present  H/O slurred speech present after fall On presentation patient is conscious,confused,slurred speech present. Past history  N/K/C/O HTN,DM,TB,epilepsy,CVA,CAD Personal history  Diet -mixed Appetite-normal Bowel movements-irregular  He is a toddy drinker and smokes chutta  Family history   Not significant  General examination  Pt is conscious   conscious  Vitals Temp-Afebrile  Bp-120/60mmHg PR-90bpm Spo2-99% on RA Systemic e

  A 55yr old male patient came to the casualty with C/o fever since 15days . HOPI - Patient was apparently asymptomatic 15days ago then he developed high grade fever , a/w chills and rigors,evening rise of temperature , relieves on medication , a/w back pain , joint pains (elbow ,knee) since 10days . C/o generalised weakness since 10days  C/o urinary incontinence since 10days  No c/o vomitings , loose stools , pain abdomen , burning micturition . Not a k/c/o HTN, DM , TB, Asthma , CAD , Epilepsy. Family history - insignificant  Personal history -   Diet - mixed  Appetite - normal  Bowel movements - regular  Bladder - c/o urinary incontinence since 10days  Addictions -  Regular alcohol intake since 30yrs  Smoker since 30yrs . GENERAL EXAMINATION Patient is c/c/c  Pallor +ve  No icterus, cyanosis , clubbing , lymphadenopathy , edema  VITALS   Temp - 100.6 °F BP - 100/80 mm Hg  PR - 85bpm RR - 16cpm RBS - 144 mg/dl SpO2 - 99% @ RA  SYSTEMIC EXAMINATION  CVS - S1 S2 + , no murmurs  RS - NV

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 42 year old female came to the OPD with C/o    - pitting type of pedal edema since 11months    - facial puffiness since 11 months    - decreased urine output since 11months   - Shortness of breath (SOB)