mahanandi mahesh

56yr female with abdominal distension since 20 days July 07, 2023 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 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 comment box is welcome. Pt came with the complaints of  Abdominal distension since 20 days Pedal edema upto knees since five days History of presenting illness Pt was apparently asymptomatic 20 days ago then she developed abdominal distension, which was insidious in onset, gradually progressive in nature Abdominal tightness present  aggrevated after having food Patient has pedal edema since five days- on and-off which is continuous,pitting...

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  Cheif complaints  C/o had an episode of loss of consciousness 2 days back HOPI: Patient was apparently asymptomatic 2days ago .then he experienced an episode of loss of consciousness which. Was sudden in onset not preceded with any headache,nausea lasted for 1 minute,no involuntary bowel bladder movements noticed,no h/o dropping saliva noted  No h/o head injury ,vomitings,diarrhea Past h/o: No h/o of similar complaints in the past . Known case of diabetes mellitus 2 months ago.patient developed swelling of legs for which when consulted a local hospital the patient found out he was diabetic. No h/o HTN,TB ,epi...

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  A 32yr old Male resident of Miryalguda came to causality with  CHIEF COMPLAINTS Fever since 7 days  Pain in abdomen since 7 days  Burning micturition since 3 days 𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐑𝐄...

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward.  H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectile, not ...

Case: A 73 year male who is a resident of gonaboynapally, came to OPD with  Chief Complaints: Breathlessness since 10 days. Epigastric pain since 4 days. History of present illness:  Patient was asymptomatic 12years back and developed cough(insidious in onset, progressive, associated with expectoration) for which he went to hospital and diagnosed with tuberculosis.4years back patient had developed swelling in his scrotum and underwent hydrocele surgery. Since 2 months patient is having breathlessness on and off for which he used to go near by RMP and use medication and used to drink alcohol to get sleep. 10 days back patient had developed severe shortness of breath and got admitted in area govt. hospital and was diagnosed with tuberculosis (CBNAAT) on 3/11/22. SOB of grade IV, gradual chronic onset, associated with cough(productive and white in color), no relieving factors. History of past illness: Not known case of DM, HTN, CAD, asthma. Treatment history: 12 years back took T...

This is an online e-log platform to discuss case scenario of a patient with their guardians permission.   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 a diagnosis and treatment plan.  Case senario:- A 27 year old male patient who is known case of CKD on MHD came with chief complaints of pedal edema. Chief complaints:- The patient came to casuality with the complaints of shortness of breath and pedal edema since 3 days. HISTORY OF PRESENT ILLNESS:- patient was apparently asymptotic one month back then developed pedal edema which was gradually progressive associated with shortness of breath.  No history of burning micturation. No history of decreased urine output. No history of orthopnea PND. No history of fever. HISTORY OF PAST ILLNESS:- Known case of hypertension since...