E.Latha

    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 patients 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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:  70 Year old female patient presented to OPD with the chief complaints of sob since 5 days, vomitings since morning,loose stool 2-3 episodes, complaints of Lump over left back. History of  

1 . Define Heart failure .Etiology and clinical features of heart failure? How do we diagnose heart failure clinically , physical examination and various modalities used in diagnosis of heart failure. Write a brief note of treatment of heart failure.  2. Define cirrhosis of liver . Etiopathogenesis of cirrhosis. Write a brief note on clinical features , diagnosis and treatment of cirrhosis of liver . 3. Elaborate on clinical features and diagnostic modalities in diagnosis of Renal calculi.   4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion. 5. Diagnosis and treatment of dengue  6.Clinical features and diagnosis of peptic ulcer disease 8. Treatment of abdominal tuberculosis. 9. Etiology and treatment of pneumonia 10. Complications of dialysis. 11. Ascitic fluid analysis. 12.Proton pump inhibitors 14. Treatment of urinary tract infection. 15. Differential diagnosis of Fever with Rash 16. Insulin therapy in diabetis mellitus 17. Antihypertensive drugs in chronic re

  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 patients problems through series of inputs from available 0 to u online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. CHIEF COMPLAINT :  56 yr old male patient complaints of SOB and pain over left inframammary area since 10 days and cough since 1 week. HISTORY OF PRESENT ILLNESS:  Pt was apparently asymptomatic  4 yrs back then he developed fever, chills , cough ,sob and pain in the left inframammary area and he consulted a doctor and  took medicine and symptoms are subsided  Then now again he developed same symptoms 10 days back and cough since 1 week Sob was gradually progressing and he had orthopnea. Pain increases on coughing . Cough is associated with sputum. Daily routine : pt is a watchman by occupation . He gets up at about 5 o

 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 patients 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. CHIEF COMPLAINT:  A 28 yr old male  Patient who is a farmer by occupation , complaints of fever , body pains  and headache  since 2 days. HISTORY OF PRESENT ILLNESS: Pt is apparently asymptomatic 3 days back then he developed fever with chills ,body pains and headache and visited nearby local hospital , he was diagnosed with dengue ,the fever subsided but the platelet count was decreased so  he came to our hospital.  PAST HISTORY :  Not a known case of diabetes , hypertension,epilepsy, Tb  TREATMENT HISTORY:  No  allergies to any known drugs PERSONAL HISTROY :  Pt takes mixed diet  Appetite - normal  Bowel and bladder