47 Chaitanya gundamala

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 Case History and Clinical Findings:  A 73 yr old Female patient came with C/O BREATHLESSNESS ON EXERTION SINCE 4 DAYS  HISTORY OF PRESENT ILLNESS:- PATIENT WAS APPARENTLY ASYMPTOMATIC 4 DAYS BACK THEN DEVELOPED BRETHLESSNESS ON EXERTION INSIDIOUS IN ONSET GRADUALLY PROGRESSIVE GRADE II NYHA RELIEVED WITH REST. ASSOCIATED WITH ORTHOPNEA AND PND, NO SYNCOPE ,PALPITATIONS PRESENT.  NO H/O COUGH COLD FEVER EXCESSIVE SWEATING H/O PEDAL EDEMA PITTING IN TYPE EXTENDING UPTO KNEE  NO H/O PAIN ABDOMEN BURNING MICTURITION  H/O DECREASED URINE OUTPUT  PAST HISTORY::- K/C/O HTN SINCE 3 YE

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  Case History and Clinical Findings  PATIENT CAME WITH C/O SOB SINCE 2DAYS ,HEADACHE SINCE 2 DAYS ,C/O FRANK BLOOD BEFORE AND AFTER PASSING STOOLS SINCE 10DAYS .   HISTORY OF PRESENT ILLNESS::- : PT WAS APPARENTLY ASYMPTOMATIC 1 YEAR BACK AND DEVELOPED BLOOD IN STOOLS FOR WHICH HE USED MEDICATION .NOW SINCE 10DAYS PT IS HAVING C/O PASSING OF FRANK BLOOD AFTER AND BEFORE PASSING STOOLS .(APPROX . 150ML BLOOD /EACH STOOL ) SOB SINCE 2 DAYS GRADE II NOT ASS WITH FEVER COLD .SOB AGGREVATING ON WALKING RELIEVES ON SITTING .  PAST HISTORY  - NOT A K/C/O HTN /DM/ASTHMA /CAD /EPILEPSY

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 Case History and Clinical Findings  CHIEF COMPLAINTS:  A 35 YEAR OLD FEMALE CAME WITH THE-COMPLAINTS OF NECK PAIN AND HEAD ACHE SINCE 3 DAYS-COMPLAINTS OF GENRALISED WEAKNESS, GIDDINESS SINCE 3 DAYS-COMPLAINTS OF SHORTNESS OF BREATH ON AND OFF SINCE 3 DAYS  HISTORY OF PRESENT ILLNESS::- PATIENT IS FINE SINCE 10 YEARS  NOW SHE IS COMPLAINING OF NECK PAIN ,HEADACHE SINCE 3 DAYS AND ASSOCIATED WITH GENERALISED WEAKNESS ,GIDDINESS SINCE 3 DAYS PATIENT IS FEELING BREATHLESS- HAVING BREATHLESS EPISODES AND IS THEN WAITING UP FROM SLEEP, SUBSIDES IN 3 TO 5 MINUTES, SOB ON WALKING GRA

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 Case History and Clinical Findings  A 70 YEAR OLD FEMALE C/O LOOSE STOOLS 2 YEARS PATIENT WAS COMPLAINING  OF GENERAL WEAKNESS FROM 15 DAYS PAIN ABDOMEN SINCE 2 YEARS  WEIGHT LOSS SINCE 2YEARS  HISTORY OF PRESENT ILLNESS::- PATIENT WAS APPARENTLY ASSYMPTOMATIC 2 YEARS BACK SHE DEVELOPED LOOSE STOOLS ASSOSSIATED WITH BLOOD IN STOOLS NOT PAINFUL PAIN ABDOMEM RELIEVED AFTER PASSAGE OF STOOLS  WEIGHT LOSS SINCE 2 YEARS SIGNIFICANT  PAST HISTORY ::- PATIENT WAS COMPLAINING OF SIMILAR COMPLAINS FROM 2016 FOR WHICH SHE WAS DIAGNOSED TO HAVE SOLITORY RECTAL ULCER ADVICED GASTRO ENTERO

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   Case History and Clinical Findings  A 37 Yr old FEMALE PATIENT CAME TO CASUALTY WITH CHIEF COMPLAINTS OF-DIZZINEES AND GENERALISED WEAKNESS SINCE 1 MONTH- DYSPNEA ON EXERTION AND ON CLIMBING STAIRS SINCE 1 MONTH.  History of present Illness:- PATIENT WAS APPARENTLY ASYMPTOMATIC 3 YEARS BACK,THEN SHE DEVELOPED FEVER, SOB,FACIAL PUFFINESS AND PEDAL EDEMA, BODY PAINS FOR WHICHSHE WAS INVESTIGATED AT PRIVATE HOPITAL &DIAGNOSED WITH HB =4 G/DL AND TRANSFUSED BLOOD.C/O DIZZINEES AND GENERALISED WEAKNESS SINCE 1MONTH ASSOCIATED WITH DYSPNEA ONEXERTION AND ON CLIMBING STAIRS .NO

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 Case history and clinical findings  A 33 year old woman a homemaker and a resident of Bangalore belonging to upper middle class according to modified kuppuswamy scale presented to the general medicine OPD with c/o -loss of appetite since 20days -passage of blood in stool 20 days ago History of present Illness::- Patient was apparently asymptomatic 15 years ago , when she had , loss of appetite , fatigue , SOB grade 3 according to NYHA scale , palpitations , she was clinically diagnosed with anemia and her Hb level was 4gm/dl for which she was given 3 units of packed cell trans

A 13yr old male  who is student brought by parents with complaints of Redness of eyes since the 5days Fever since 4days Burning micturition since 4days  History of present Illness: Patient was apparently asymptomatic 5days   back after   which he developed Redness of eyes,followed by Fever which is high grade  insidious onset, gradually progressive associated with burning micturition. H/o yellowish discoloration of eyes 3days H/o swelling in both cheeks since 2days  H/o pain and difficulty in flexing left knee since 2days associated with progressive swelling No H/o recent travel  No H/o  similar complaints in the past  PAST HISTORY  N/k/c/o DM, Hypertension,  TB, Epilepsy,CVD, Asthama,Thyroid disorders PERSONAL HISTORY Single Student Diet :Mixed Appetite: Lost Sleep: adequate Bowel and bladder regular Addictions No  No known Allergies  GENERAL EXAMINATION Pt is conscious coherent and cooperative  Icterus present No  pallor, cyanosis, clubbing generalized lymphadenopathy, edema  Vitals