Pranati V (roll no. 129)

28 year old male with c/o fever since 5 days with chills Pt was apparently asymptomatic 6days back when he developed fever with chills and rigors..high grade Sudden onset resolved now 2 episodes of vomitings 2 days back, bilious, non projectile, non blood stained No Malena, hemoptysis, hematemesis No h/o rash No h/o loose stools N/k/c/o DM, htn, tb, ba, Epilepsy O/e Pt is c/c/c TEMP- 99.5°f Bp- 110/80mmhg Pr- 81 BPM RR- 18cpm CVS- S1 S2 heard Rs- BAE (+) P/A- soft non tender CNS- NFND Investigations- DX: Viral Pyrexia with Thrombocytopenia IVF - ns, RL at 100ml/hr Inj Pantop 40mg iv od Inj ZOFER 4mg iv SOS T. Dolo 650 mg po/sos Daily postural bp monitoring Temp charting 4th hrly

C/o generalised weakness since 2 months Body pain (+) C/o pain abdomen since 8 days Patient is a diabetic since 20 years initially on OHA later shifted to insulin Mixtard (30/70) since 1 week because of high sugars . She was apparently assymoptomatic 2 months back ,then she used to complaint of generalised body pains and weakness . No fever ,no vomitings ,no loose stools. Since 8 days patient is complaining of pain abdomen - diffuse , intermittently  No vomitings ,no loose stools . For the above complaints she was taken to RMP and got symptomatic treatment ,but found to have high sugars ,so they visited local doctor in nalgonda ,where her previous OHA was changed to Insulin. Now she presented to us with complaints of  Decreased urine output Pedal edema , abdominal distension since 3 days . With decreased food intake ,droswiness Constipation since 2 days H/o usage of T. aceclofenac 100mg po od since 3 days Pt is a k/c/o DM-TYPE2 since 20 years, initially on OHA, since 20 days is on Huma

45 male with SOB @rest HOPI- Grampanchayat worker came to casualty with c/o SOB at rest since 4 days, anasarca since 4 months Pt was apparently asymptomatic 2 years back and had h/o chronic alcohol intake- had sudden onset involuntary movements of b/l UL, LL lasted for 15 min and frothing from mouth with uprolling of eyes  (+) with no post ictal confusion/involuntary micturition/defecation Taken to a hospital where MRI was done and pt advised to stop taking Alcohol, started on T.Eptoin 100mg po/bd since then. Then he had episodes of 5-6 since 2 years 4 months back, while he was lying on the bed, he had a seizure and fall from bed leading to fracture of right hip   Then pt was taken to hospital and said to have low Hb and renal failure. 3 units PRBC tranfusion was done 4 months back and then pt developed pedal edema which was insidious in onset, gradually progressive to anasarca in 4 months SOB- sudden onset, rapidly progressive with class 4(NYHA classification) with orthopnea and PND N

December 27, 2021 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 wa

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 A 18yr old male patient came to the casualty with  c/o fever since 6days . HOPI -  Patient was apparently asymptomatic 6days back then he developed fever which is high grade , associated with chills and rigors, intermittent , relieves on taking medication associated with headache since 2days, body pains . Vomiting q episode yesterday, containing food particles, non bilious, non blood stained Pain abdomen in epigastric region  No H/o, loose stools , giddiness, hematuria No rash & bleeding manifestations . No H/o retro orbital pain , joint pains . Past History -  Not a k/c/o HTN , DM,TB, Asthma , CA

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 AMC bed 8   20year old male came with c/o fever since 4 days and pain abdomen since 1 day  Pt was apparently asymptomatic 4days back then had fever for 4 days, intermittent, high grade fever, associated with chills and rigors. Pain abdomen in epigastric region, non radiating throbbing type of pain associated with loss of appetite, not associated with nausea, vomitings, loose stools, constipation, Malena,  Vomitings 2 episodes, non bilious, non projectile and food as content, watery stools (4-5 episodes), no mucous/blood/dark coloured stools (subsided now) No h/o Malena, petechiae, hematuria, giddiness