case discussion

1601006175 long case This is an online e logbook to discuss our patients deidentified health data shared after taking his / guardian’s signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community 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 portfolio and valuable inputs on comment box is welcomed. A 45 year old male patient who’s a farmer by occupation came to OPD with Chief complaints : Shortness of breath since 2 years  Decreased urine output since 2 years  Pedal edema since 2 years  History of present illness :  Patient was apparently asymptomatic 2 years ago then he developed ,shortness of breath which was insidious in onset gradually progressive, which progressed to the present stage (from class 2 progressedto class 4 ) there were ,no relieving factors. He also had b...

  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 are welcomed.  1601006175 SHORT CASE - GENERAL MEDICINE  This is an online elogbook to discuss our patient's deidentified health data shared after taking her/guardian's informed consent. SHORT CASE : A 46 yr old female, a labourer by occupation hailing from Nakirekal came to the hospital with Chief complaints of  Shortness of Breath  since 5 days and  Generalized edema  since 5 days.  HOPI  :        Patient was apparently asymptomatic...

  Following is the treatment being given :

158 Suprajaa Pulluru  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.  You can find the entire real patient clinical problem in this link here..https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Following is my analysis of this patient's problem: The problems in order of priority I found are  1) Migraine and aura  2) Swelling 3) Sleep disturbances 4) Mood disorders 1. Migraine and aura  -present since age 2 years -became worse with menarche and with the usage of nuvaring -associated with visual aura before the attack(scotomas, flashes of light,seeing rainbow colors) -associated with giddiness, weakness/numbness of left half of the body So,the cause for headche could be HEMIPLEGIC MIGRAINE. PATH...