80 yr old male Patient come with the chief complaints of Sob 4 days Cough 3 days Fever 4 days Loose 2 days Burning micturation 2 days Patient was apparently symptomatic 1month back then he developed loose tools and fever for which he was taken to hospital and was treated conservatively. Patient was symptomatically improved after 10 days for the treatment then last 4 days patient developed sob and insidious onset slowly progress to present state fever is intermittent on of associated with loose tools relieved on medications associated with burning micturation loose tools in students 3 to 4 episode for the not bloody watery non smelling and sticky Cough since 3 days productive cough copious sputum which not bloody tinged nonfrothy N/k/c/o DM tb cad htn asthma epilepy H/0 surgery for hernia alone 7 years back Personal history : Appetite normal Diet mixed Addiction smoking alcoholic Bowel and bladder irregular loose stools DECREASED urine output Family history : No significa
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This is an E log book to discuss our patient's de-identified health data shared after taking his 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 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 comments in comment box are most welcomed I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan H.no. 1701006011 Name A pavan kumar 38 year old female came to casualty with chief complaints of pain abdomen flanks radiating to front since 4 days fever since four days lower backache since 4 da
INTERN ONLINE ASSESSMENT- GENERAL MEDICINE
DURING UNIT DAYS CASE 1 https://08arshewarpavankumar.blogspot.com/2022/09/20-yr-female-with-bl-pedal-edema.html Presentation for this case https://youtu.be/GFASTNR78Ng My orientation around the case 1)What is possible cause of her pedal edema ..?? Renal impairment or low output states (cardiac failure ) or acute tubular atrophy 2)What are the differential diagnosis of the patient ?? Nephrotic syndrome more probably poststreptococcal glomerulonephritis , minimal change disease , LUPUS NEPHRITIS , VASCULITIS, infective endocarditis, libman sach endocarditis , igA nephropathy 3)What is cause of cough and SOB ?? -Due to glomerular injury renal filtration is compromised and there is accumulation of fluid in third space leading to ascitis pleural effusion and pericardial effusion -Due to pleural and pericardial effusion there is a SOB 4) what is determining factor to prove the fluid is exudative or transudative .? -SAAG >1.1 indicates high saag transudative fluid which it occu
20 yr girl with b/l pedal edema
This is an E log book to discuss our patient's de-identified health data shared after taking his 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 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 comments in comment box are most welcomed I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan A pavan kumar 1701006011 Presentation https://youtu.be/GFASTNR78Ng 20 year female came to casualty with chief complaints of -Hyperpigmented macules since 15 days -b/l pedal edema since 15 days