General medicine

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 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. 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. Chief complaint; 50 year old female presented with the  of slurring of speech since 3 months History of present illness Patient was apparently asymptomatic 3 months ago ,then she developed slurring of speech which was preceded by history of head trauma (fall onto door) For 2 days she complained of slurring of speech which improved gradually  His

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 histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan.   A 22 year old female farmer by occupation resident of nalgonda came to hospital with a cheif complaint of bilateral lower limb swelling and facial puffiness decreased urinary output and SOB since 5 months Now patient admitted for renal biopsy History of present illness; Patient was apparently asymptomatic 5 months back then she developed facial puffiness and peri orbital swelling preceded by bilateral limb swelling Patient develops SOB while she walking for small distance,sometimes at resting position Patient complaints of decreased urinary output History of fever before the development of symptoms. Patien

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 histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan.  LONG TERM: PUPILS: NSRL SPEECH: normal. CRANIAL NERVE EXAMINATION: INTACT SENSORY SYSTEM NORMAL SENSORY SYSTEM: normal. CEREBELLAR SIGNS FINGER NOSE TEST - IN COORDINATION PRESENT FINGER FINGER TEST- IN COORDINATION PRESENT ROMBERGS - NEGATIVE DYSDIADOKINESIA- NEGATIVE GAIT - NORMAL CVS examination: S1, S2 are heard. No murmurs. Respiratory system examination: Inspection: Chest is moving bilaterally symmetrical. No pulsations. Palpation: Trachea is central in postion. Percussion: Resonant  Auscultation: Breath sounds are vescicular. Abdomen examination: Inspection: Shape is scaphoid.                     Mov

 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 histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan.  A 42 year old male patient came with the  palpitations since  morning , difficulty in breathing since morning, Headache since morning ,Frothy urine 15-20 days ago (not present now) HISTORY OF PRESENTING ILLNESS- Pt was apparently alright till morning when he had  palpitations and SOB grade II. He also had complaints of headache which is diffuse.  nausea not a/w lacrimation/photophobia/phenophobia Since 15 days he has  frothy urine which was    intermittent , resolved now No  chest pain/ orthopnea/syncopal attacks No pain abdomen, loose stools, fever, constipation,burning micturition, vomitings No  tingling