GM Elog

 55 year old male came to the opd with chief  complaints of fever since -4days  Loss of appetite since 4days  Unresponsiveness(stupor) 2 hrs before admission  History of present illness : patient was apparently asymptotic 1 month back  then   He came with CVA to  causality at 8:30pm on 20/7/21 with in state of unresponsiveness with GCS e1v1m1 since 2hrs  Attenders gave h/o fever since 4days , loss of appetite since 4days ,h/o 2 episodes of vomiting (black coloured) 4 days back ,h/o blood in urine 2 weeks back after removal of foleys . No history of headache , seizures  No h/o cough , cold  No other complaints  Patient continued to take OHA inspire of not eating food . History of past illness :  k/c/o T2 DM since 10 months  ( glimi 2mg +metformin 500mg  voglibose 0.2 mg  Denovo HTN detected 1 month back (telma 40mg OD ) Personal history :  Married  Appetite :decreased  Non vegetarian ...

 56Y old female came to OP with chief complaints of  fever since 1 month  B/L swelling of lower limb since 1month   Loss of apetite since 20 day Generalised weaknesa since 20 days Vomitings since 3 daysdays History of present illness :  - Fever was high grade, intermittent not associated with chills and rigors , cold and cough. - Associated with decreased apetite and generalised weakness, burning micturation was on and off and associated with suprapubic pain - Swelling of lower limbs was on and off since 2 years and not associated with SOB, palpatations, decreased urine output, facial puffiness - on presentation pedal edema was not seen.                                                                     patient denied the history of usage of Nsaids . Patient was apparently asymptomatic 10 ...

  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 14 year old male  resident of nalgonda , student by occupation,came to opd three days back  with Chief complaints of  Cough since  8 days  and ...

    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. Presented by : G.Preethi   Rollno : 51  Following is my analysis of this patient's problem: The problems in order of priority I found are  1) multiple health issues since Birth - jaundice,vomitings, insomnia, excessive hair growth all over the body,Chronic UTI Kidney infections Strep throat (doctor diagnosed) Lung infections Multiple sprained ankles and knees. 2)Severe headaches (since age 2). Became worse with menses(at 14) and while on BC (birth control - nuva ring) at age 32 caused migraine with aura. Seen for concerns of brain tumor- no scan done was told bloodwork looked great so no need. Potential sensory disorder-clothes felt unbearably unc...