Akanksha poddaturi

A 45 year old gentleman,from ramanapet who is a farmer by occupation came to the hospital with the  chief complaints  of: • Shortness of breath since 1 year. • Swelling of both feet, ankles and legs since 3 months. HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 1 year back then he developed: 1. Shortness of breath • Insidious in onset.. • Duration-1 year. • Gradually progressive(initially grade 2 NYHA, and has gradually progressed to breathlessness at rest-grade 4 NYHA). • Orthopnea since 1month Breathlessness increases on lying down position which was relieved on sitting in upright position. • Associated with paroxysmal nocturnal dyspnea. 2.Swelling of both feet, ankles and legs • Insidious in onset. • Duration-3 month • Gradually progressive (started in feet and ankles and progressed to legs upto the level of knees).  Aggravated on walking and less on elevating the legs. =~ Other complaints: • Decrease in urine output since 1 month. PAST HISTORY : • H...

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 is welcome." I've 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.  Case: A 55year old male toddy climber by occupation came with complaints of pain abdomen and fever. Chief complaints:                      ...

I've 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.  You can find the entire real patient clinical problem in this link here.. https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 FOLLOWING IS MY ANALYSIS ON THE PATIENT'S PROBLEM  : MAIN COMPLAINTS : Migraine with Aura Sleep Disturbances Edema mainly confined to face and abdomen Increased Pain Tolerance Fatigue      MIGRAINE : ONSET: Sudden DURATION: Since 2 years of age More towards the left side Gradually progressive ASSOCIATED SYMPTOMS: Numbness of left hand and left face felt like someone was pouring ice water over the  cheek and also feeling of falling and spinning at night. Preceded by AURA associated with transient loss of vision Aura...