BHARATH KUMAR ROLL NO 108

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. 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 inp

 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. 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 in

 40yr female came with the complaints of SOB since 1 day HOPI  Patient was apparently asymptomatic 6months back and then developed b/l pedal edema and took medications  2 months back symptoms increased and sob and went to nlg admitted for 3 days for sob grade 4  C/o nausea and vomiting since 2 months- continuous, water in consistency, non bilious , non projectile  C/o Facial swelling and peri orbital swelling started 2 months back and nlg Dr's advised dialysis and patient went to Gandhi hospital and got admitted but dialysis sessions delayed so they went to NIMS hsptl and got admitted for 2 days and dialysis 1 session done and got discharged And then after 3 days symptoms started again and went to NIMS again and Dr adviced for dialysis sessions twice /month 5 sessions of dialysis done  And discharged and came to our hospital.  C/o SOB -Grade 4 C/o vomitings- continuous , watery in consistency,non bilious,non projectile since 2months  Past history:  K/c/o HTN 5 yrs and on telma 40mg

A 53 year old male came to casualty with chief  C/o pedal edema since 2 months C/O SOB Since 1 day C/O  decreased urine output since 2 months. History of presenting illness:- Patient was apparently alright 1 year back then  he developed  decreased urine output for which he went to hospital and  was diagnosed as chronic kidney disease and was on Conservative management.  Patient  developed decreased urine output since 2 months. No  Hesitancy, dribbling of urine. -History of pedal edema Since 2 months, pitting type upto knee. -History of SOB since 1 day; Grade -IV according to MMRC  , Orthopnea present, no   PND. No chest pain, no palpitations.  3. HISTORY OF PAST ILLNESS K/c/o Dm-ll Since 7 years on insulin K/c/o HTN Snce 1 year on CILNIDIPINE 10mg. No history of asthma ,tuberculosis ,epilepsy  Personal history:  Diet mixed  Appetite normal  Sleep Adequate Bowel are regular Bladder movements decreased output since 2 months. Addictions:  Alcohol - regular but stopped since 2 years Smokin