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MACHYAGIRI

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  C/O INVOUNTARY MOVEMENTS OF ALL FOUR LIMBS SINCE TODAY MORNING.   HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARETNLY ASYMPTOMATIC UNTIL TIDAY MORNING , THEN AT AROUND 10:30 AM , PATIENT HAD INVOLUNTARY MOVEMENTS OF ALL FOUR LIMBS , TONIC , CLONIC   TYPE LASTER FOR 5 MINUTES, 4 EPISODES , EACH LASTED FOR 2-5 MINUTES. NO LOSS OF CSNSCIOUSNESS IN BETWEEN EPISODES . POST ICTAL CONFUSION PRESENT. H/O UPROLLING OF EYES AND DROOLING OF SALIVA   . NO H/O TONGUE BITE. NO H/O INVLUNTARY PASSAGE OF URINE / STOOLS. PAST HISTORY: N/K/C/O DM , CVA, CAD, SEIZURES , ASTHMA K/C/O HTN SINCE 6-7 MONTHS , NOT ON ANY MEDICATION. PERSONAL HISTORY: DIET – MIXED SLEEP – ADEQUATE APPETITE – NORMAL BOWEL AND BLADDER – REGULAR NO KNOWN ALLERGIES NO HABITS OR ADDICTIONS GENERAL PHYSICAL EXAMINATION: PATIENT IS CONSCIOUS, COHERENT , AND COOPERATIVE NO PALLOR , ICTERUS , CYANOSIS, CLUBBING , LYMPHADENOPATHY , EDEMA VITALS: BP – 90/60 MMHG PR – 120 BPM RR – 28 CPM TEMPE
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A 65 YEAR OLD FEMALE WITH FEVER AND DYSPNOEA

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This is 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 patients 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 comment box is welcome CHIEF COMPLAINTS  C/O FEVER SINCE 10 DAYS C/O SOB SINCE 5 DAYS    HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN SHE DEVELOPED FEVER OF HIGH GRADE, ASSOCIATED WITH CHILLS AND RIGORS. CONTINUOUS, RELIEVED WITH MEDICATION, DIURNAL VARIATION PRESENT MORE DURING THE NIGHT. THEN SHE HAD INSIDIOUS ONSET OF SOB GRADE I PROGRESSED GRADUALLY TO GRADE IV. H/O PALPITATIONS H/O OCCASIONAL CHEST PAIN NO H/O PROFUSE SWEATING H/O COUGH - NON-PRODUCTIVE SINCE 5 DAYS
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1801006125 - Short case

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  This is an a 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. A 13 year old female patient who is resident of Suryapet  came to the General medicine O.P.D with chief complaints of shortness of breath since 5 days Vomitings at night 5 days ago   HISTORY OF
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1801006125 - LONG CASE

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  This is 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 patients 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 comment box is welcome A 55 year old male who is a resident of Narketpally and vegetable vendor by occupation presented to the General Medicine O.P.D with chief complaints of  Shortness of Breath 20 days ago Swelling of both lower limbs 10 days ago History of Presenting Illness:      Patient was apparently asymptomatic 20 days back then he developed shortness of breath which was insidious in onset which was initially on exertion now progressed to NYHA class 4. Patient also complains of pedal edema
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