Inavoluakhila

  April 19, 2023 An 80 year old male came to OPD with chief complaints of   Bilateral knee joint pains since 2 years Sob since 6 months Indigestion on and off since 5 months  HOPI: Patient was apparently asymptomatic 2 years back then he developed bilateral knee joint pains not associated with any swelling,restriction of flexion movement.pain aggrevates during walking and relieved on taking rest and medication.not associated with fever  Then he developed SOB since 2 months which is of grade-2.It is not associated with cough(before dry cough) It is associated with pedal edema which is pitting type upto ankle.It is increasing while walking and relieved on elevation of limb and during rest. not associated with palpations,chest pain,sweating,fever Not associated with decreased urine output,burning micturition. Then he developed indigestion with burning sensation after food intake.relieved on taking medication. It is associated with abdominal discomfort,bloating(on and of...

  GENERAL MEDICINE  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 comments on 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 prognosis DATE OF ADMISSION- 12-4-2023 A 60 year old male resident of marepally farmer  by occupation came to the OPD with the chief complaints of  CHIEF COMPLAINTS: Burning mitura...

  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 ...