CHANDRAHAAS PATNALA ROLL NO 119

  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

  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