MALOTHU.BHARGAVI ROLL NO 84

First we started with ipd cases A 80yrs old female patient from nalgonda housewife by occupation came to hospital with chief complaints of- 1.fever since 5 days 2.pain in abdomen on and off since one month 3.burning micturition since 1 month History of presenting illness: Patient was apparently asymptomatic one month back then she developed pain in abdomen which was diffuse,non radiating associated with burning micturition,then she started having fever since 5 days which is high grade not associated with cough,cold and headache History of past illness: H/o # ?rt neck of femur fracture 4yrs back since then she managed to walk with walker H/o #? Lt knee fracture 2yrs back since then she was bed ridden Not a k/c/o of DM,HTN, epilepsy,asthma. Treatment history: No treatment history Personal history: Diet:mixed Appetite:normal Sleep : normal Bowel and bladder: irregular  Micturition: burning H/o no addiction Family history: not significant No pallor No cyanosis No clubbing No lymphadenopath

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 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-centred online learning portfolio and your valuable inputs on the 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 treatment plan. Case 1 Pajr group https://chat.whatsapp.com/D0NgFHIdkWw6l1oETClPxF Blog http://bhargavimalothu84.blogspot.com/2023/09/cheif-complaints-patient-was-brought-to.html [8/29, 12:44 PM] Bhargavi

Cheif complaints: Patient was brought to casuality in altered sensorium since 4pm yesterday HOPI: patient was apparently asymptomatic before 4pm yesterday then he developed altered sensorium since with involuntary movements of both upper limbs, shevering, cold intolerance sweating,  patient also complained of chest pain at 7pm, profuse sweating present, shevering present, H/o fever since 2 days, high grade associated with chills and rigors not relieved by medication No vomitings amd loose stools Past h/o  K/c/o left lower limb filiriasis K/c/o dm 2 since 6 years using glimeperide 2 mg , metformin 500mg K/c/o HTN since 2 months K/c/o ckd stage 3A K/c/of HBSAG since 2 months Acute infract in right frontal lobe K/c/o left hemisparisis since one month  Vitals: Bp : 140/90mmhg Pr : 140 bpm Grbs: 35 mg/dl at admission given 25D later it is 180 mg/dl Temp : 103 f Cvs :. S1 s2 heard no murmurs Rs : b/l AE present P/A : soft. Non tender Investigations 28/8/

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 inputs on the comment .  I am presemting a case of 60 year old female, house wife resident of addaguduru, came to opd with Chief complaints: High grade fever since 6 days, not associated with chills and rigor, complaints of weekness since 2 days.  History of present illness: Patient was apparently asymptomatic 5 days back and then she developed fever high grade , continuous not associated with chills and rigor  C/o generalized weakness since one day, urinary incontinence,  So they went to local hospital a

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 inputs on the comment box. A 80yrs old female patient from nalgonda housewife by occupation came to hospital with chief complaints of- 1.fever since 5 days 2.pain in abdomen on and off since one month 3.burning micturition since 1 month History of presenting illness: Patient was apparently asymptomatic one month back then she developed pain in abdomen which was diffuse,non radiating associated with burning micturition,then she started having fever since 5 days which is high grade not associated with cough,co