Preethish jay CT

   This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 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.  Date of admission:30/07/2022. A 45yrs old female ,farmer by occupation is a resident of nalgonda presented to casuality with the Chief complaints Of   Fever and body pains, not associated with

60 YEARS OLD MALE WITH CKD ON MHD 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. A 60 years male residing in nalgonda farmer by occupation prensented to OPD with a chief complaint of bipedal edema.  HISTORY OF PRESENT ILLNESS  Patient was asymptomatic 9 mon

  CASE  :   A 30 year old man,lorry driver by occupation, resident of tangapally Choutupal came to the OPD with chief complaints of - blood in stools,pain while excretion since 2 months - fever since 1 week HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 months back and since 2 months patient complains of loose stools( 3 to 4 episodes ) which are watery occasionally black stools associated with pain abdomen burning micturition present  - associated with fever - intermittent, low grade and associated with chills - yellowish discoloration of eyes since 20 days associated with generalized weakness  No history of vomitings, pedal edema ,orthopnea and PND ,no palpitations PAST HISTORY: No h/o DM/HTN/Asthma/Epilepsy/CAD/TB PERSONAL HISTORY: Diet - mixed Appetite - decreased  Sleep - adequate Bowel movements - Loose stools and burning micturition No known allergies Chronic alcoholic since 16 years GENERAL EXAMINATION: Pt is conscious, coherent,cooperative Pallor +,icterus +,

22 YEAR FEMALE WITH UNCONTROLLED TYPE ONE DIABETES MELLITUS  A 23 yr old female came to opd with  chief complaints of generalized weakness, headache, giddiness, burning sensation in both upper and lower limbs, since 3months HISTORY OF PRESENTING ILLNESS- Giddiness - once or twice a week lasting for 5-10 min , not associated with vomiting, neck pain, blurring of vision. C/o burning sensation of both upper limbs and lower limbs distal extremities since 3 months C/o generalised weakness of body,but able to get up from squatting position, able to climb upstairs and down,able to comb hair and mix food, able to get up from bed and roll over the bed.able to hold chappals while walking. No complaints of fever, vomiting's, nausea, pain abdomen, shortness of breath. No complaints of altered bladder and bowel habits When she is of 7 y age, she had fever and fell unconscious and was admitted in hospital, remained in the unconscious state till 3 days and there was detected as diabetes mellitus