General Medicine Case Discussion

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. A 80 year old patient came to the casualty with the chief complaints of : 1. Shortness of breath (grade III) since 3 hours 2. Loose stools - 3 episodes on 19/10/21 3. Fever since 6 days which is associated with chills and rigor. He used to smoke 18 beedis/day , smoked for 30 years. After he was diagnosed with Tuberculosis (took treatment for 2 years) , he stopped smoking. He was an alcoholic , took 90ml/day and stopped 1 year back, now takes occasionally during social gatherings. He had a history of repeated falls 1 year back , for which he went to the government hospital. Initially the patient was told that he had low blood pressure, then after 5 months , he was diagnosed with hypertension and star...

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. A 40 year male , farmer by occupation came to the casualty with the chief complaints of : 1. Complaint of fever since 5 days. 2. History of vomiting 5 days back. The patient was apparently asymptomatic 5 days back, then he took the Covid Vaccination. Since then he is having fever associated with chills and rigor, no diurnal variation, not associated with sweating, subsided on taking medication. There was history of 2 episodes of vomiting 5 days back which was non bilious, non projectile and was not associated with pain abdomen. The patient had no complains of headache, palpitations, shortness of breath or pedal edema. The patient is not a know case of Hypertension or Diabetes Mellitus. The patient...

"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 is welcome." SHORT CASE A 35 year old male patient, resident of Motukur, labourer by occupation is undergoing dialysis since 10 months. He was diagnosed with hypertension 2 years ago. He took the medication for hypertension and then stopped abruptly for 2 months.  He is undergoing dialysis twice a week since 10 months. General Examination:  The patient is conscious, cooperative, coherent and is moderately built and well nourished. Pallor : Absent Icterus : Absent Cyanosi...

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" THE CASE : A 28 year old female resident of Nalgonda came to the medicine department with the chief complaints of nausea and vomiting  since last 3 days. History of presenting illness : The patient was apparently asymptomatic 3 days ago. Then she had episodes of vomiting and loose stools. Vomiting : sudden in onset , non billious , non projectile, with burning type of pain abdomen and with clear contents with the frequency of every 10 minutes. Loose stools : sudden in onset , watery ...

A 42 year old female with multiple health issues . May 16 , 2020. Neha Purohit Roll No. 115 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. Following is my analysis of this patient's problem : The problem in the order of priority are : 1) Migraine with associated aura 2) Potential Sensory Disorder 3)  Swelling of the face and abdomen 4) Sleep Disturbances 5) Increased pain tolerance  6) Increased Fatigue Each problem is described in detail here :  1) Migraine with associated aura :   Onset : sudden   Since the age of 2  which gradually worsened after the onset of menarche which was at 14 years of age   which was more towards the left side.   The headache was gradually progressive.    At 34 years of ag...