General Medicine case discussion

Y.NAVYA SAHITHI REDDY ROLL NO 167 2K17 BATCH. This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. CASE DISCUSSION A 73 yr male patient teacher by occupation, resident of .............. presented to Opd with chief complaints of : PEDAL EDEMA ,SINCE 15 DAYS SHORTNESS OF BREATH, SINCE 4 DAYS DECREASED URINE OUTPUT ,SINCE 2 DAYS HISTORY OF ILLNESS Patient is chronic alcoholic since 40yrs ( stopped few months back) and non-smoker was apparently asymptomatic 30yrs ago. He was diagnosed with type 2 diabetes mellitus 30yrs ...

Y.Navya sahithi reddy Roll no.1701006200 2017 batch 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 A 37 year old male came to opd with c/o shortness of breath grade 4 since 3 months . HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 2 years back ,  then the patient had an episode of giddiness ?due to shock (from the death of his brother in law) ,for which he went to a local hospital and got diagnosed with hypertension. Since then the patient was started on increasing doses of Telma and later Telma -H, but the patient was not compliant to the medication. He used to take the medication only when there's occasional neck stiffness and pain. History of mild shortness of breath and chest pain 3 months back, not associated with cough, fat...

Y.NAVYA SAHITHI 2K17BATCH This is an E logbook 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 an 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-logbook also reflects my patient-centered online portfolio and your valuable inputs in the comments are welcome.        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 diagnosis and treatment plan. CASE DETAILS:         A 45 year old female resident of Nalgonda presented to the casualty ward on 9th June 2021 at 4:30 pm with the chief complaints of involu...

Y.Navya sahithi reddy Roll no.1701006200 2017 batch 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 A 60 year old male, resident of appalgudathanda suryapet district presented to OPD with chief complaints of hematuria since 2 months. Chief Complaints : Patient complains of Hematuria since 2 months History of Presenting Illness: Patient was apparently asymptomatic 2 months back. Then he noticed blood in urine, which insidious in onset, gradually progressive. Increased in frequency of urine, mainly during night times for every 20 min(40-50ml) which is  red in colour. Incontinuity of urine is present, at first patient passes red colour urine along with passage of black coloured clots with burning sensation. H/O tremors No H/O fever, cough and cold. No H/O naus...

Name: DR.Y.NAVYA SAHITHI REDDY(INTERN) Roll no: 167 Date: 19/6/23 This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  A 68year old female presented to the casualty with cheif complaints of Vomitings since yesterday evening Loose stools since yesterday evening HOPI: Pateint was apparently asymptomatic till yesterday evening then she developed vomiting which are non projectile , non billiary without food particles of 6-9 episodes since yesterday evening and she had loose watery stools of 5-6 episodes along with vomitings .p...

A 25 YEAR OLD FEMALE WITH YOUNG ONSET OF HYPERTENSION. Y.Navya sahithi reddy Roll no.1701006200 2017 batch 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 A 25 year old female patient who is a housewife and resident of Miryalaguda came to OPD with  Chief complaints: General check up in measuring bp found to be150/100mmof hg HISTORY OF PRESENTBILLNESS 2021:1st pregnancy:When patient conceived visited obstetrician and on examination found to have Hypertension(150/100 mmHg) Started on Labetalol PO BD At around 8 months:intrauterine death,baby delivered by NVD Stopped antihypertensives 2022:patient conceived again,blood pressure 160/100 mmHg started on labetalol 100mg BD At 8 months: preterm delivery live baby NVD died within one day NEGATIVE HISTORY: No H/O...