Inavoluakhila

  GENERAL MEDICINE  23-11-22 This is an online E log book to discuss our patient's de-identified health data shared after taking his /her/guradian's consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the  comment box below. DATE OF ADMISSION: 22-11-22 A 76 year old female housewife from narketpally came to opd with CHIEF COMPLAINTS OF: . Difficulty in breathing  . Rashes on abdomen  HOPI:  . The patient was apparently asymptomatic 1 year back and and developed shortness of breath ( grade 3) which used to subside once she sits . Aggrevating factors- cold environment,  relieving factors- medications. . Not associated with orthopnea and paroxysmal nocturnal dyspnoea  . Around 10 days back patient developed multiple lesions on the left flank of abdomen,  sudden in onset , progressed to hyperpigmented Macules with crusting, no aggrevating or relieving factors , complaints of left iliac fossa pain radiating  to left hypoch

                  GENERAL MEDICINE  17-11-22 This is an online E log book to discuss our patient's de-identified health data shared after taking his /her/guradian's consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the  comment box below. DATE OF ADMISSION: 16-11-22 A 45 year old male laborer by occupation came to opd with CHIEF COMPLAINTS OF: . Severe pain in abdomen  HOPI:  . The patient was apparently asymptomatic 1 month back and developed  severe pain abdomen which was sudden in onset for which he went to rmp hospital and pain subsided after taking medication for 2 days  . Again he developed sudden pain in abdomen 1 week back in the epigastric and right hypochondriac region radiating to backside dragging type of pain, no aggrevating or relieving factors . Associated with 2 episodes of vomiting  . No h/o fever, burning micturition, chest pain , breathlessness PAST ILLNESS: . Known case of HTN from 3 years ( 40 m

74 yr old male with seizures   This is an online E logbook 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 an available global online community of experts to solve those patients 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 are 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 diagnosis and treatment plan. Following is the view of my case : Date of admission : 13/11/22 74 year old male , farmer by occupation came to the opd with Chief complaints : Of seizures and loss of consciousness AT 1:

           GENERAL MEDICINE  12/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  DATE OF ADMISSION : 9/11/22 A 14 year old boy ,  came to casuality with  chief complaints of CHIEF COMPLAINTS : pain in the abdomen and noticed a swelling in the left side of the abdomen since the past 15- 16 days HISTORY OF PRESENTING ILLNESS :  Patient was apparently asymptomatic till  9 years of age , on August, 2016 -  his parents noticed neck swelling and he had difficulty in swallowing then they took him to ENT doctor ,later referred to endocrinologist ,where he was diagnosed with hyperthyroidism. USG showed diffuse enlargement of both lobes of thyroid gland . FNAC was done showing features suggestive of hyper plastic goi