1601006008

 1601006008 This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient 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 also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case:A 46yr old female,housewife resident of Nalgonda came to hospital with chief complaints of shortness of breath since 5days  History of present illness   She was apparently asymptomatic 5days back then she developed shortness of breath which was insidious in onset ,gradually progressive,aggravated on lying down and relieved on medication. Associated with orthopnea,wheeze,paroxysmal nocturnal dyspnea  Anasarca since 5days and cough with expectoration since 5days which is insi...

Hallticket no 1601006008   This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient 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 also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case -A 50yr old female ,farmer by occupation resident of suryapet came with chief complaints of weakness of left upper and lower limb since 3days History of present illness -patient was apparently asymptomatic 3 days ago and then she developed sudden onset of weakness is her left upper and lower limbs  which was recovering ,followed by fall with no history of trauma There is slurring of speech and deviation of mouth to right side No h/o bowel and bladder abnormalities,swal...

23year old driver with complaints of paraparesis 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 comeup with a diagnosis and treatment plan. Following is my analysis of patient's problem chief complaints of the patient: the problems in order of priority are  1)weakness of bilaateral lower limbs associated with tingling and numbness since 5 days  2)vomitings 5days back 3-4 episodes non projectile, non bilious,food particles is content  3)when he got up for urination ,suddenly he had a fall and got up with the help of father  4)gluteal abscess since 5 months  5)scrotal abscess since 20days as described by patient ,there is initially paraparesis that gradually developed inti paraplegia causes of paraparesis 1)pvd -A sudden falll may be due to vascular cause i....

18 yr old male with bilateral weakness and edema of lower limbs i've been given this case to solve in ana attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data includng history,clinical findings,investigations and come up with a diagnosis and treatment plan.  chief complaints: the problems in order of priority i found are 1.weakness of both lower limbs since 20 days 2.bilateral edema in lower limbs history of presenting illness 1.b/l weakness in lower limbs -weakness initially started in the proxinal region 2 yrs back onset:insidious in onset progression:gradually to distal region associated features -difficult in wearing and holding chappals -difficulty in combing hair,buttoning and unbottuning shirt calf hypertrophy-B/L possible diagnosis: -it may be related to nerves because there is history of difficulty in holding chappals and difficulty in buttoning and unbottoning...

18year old male with difficulty in walking  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 the following is my analysis of this patients  problems in order of priority are -weakness of b/l lower limbs since 1 month -bilateral lower limb weakness since 1 month -pain in lower limb calf muscles since 1 month -fever since 1 week reasons 1.difficulty in walking and weakness of lower limbs -h/o difficulty in standing from sitting position h/o difficulty in climbing stairs h/o difficulty in holding chappals h/o wasting and thinning of muscles mostly lower limbs probable diagnosis -it may be related to nerves because from the history there is history of ddifficulty in holding chappals and wasting and thinning of muscles,difficulty in standing from sitti...