167Kotha Kavya

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION : A 65 yr old female coming from Rajavaram ,was brought to the casualty with   CHIEF COMPLAINTS of: Difficulty in moving left upper limbs and lower limbs since 3 days. Weakness in right and left upper limbs and lower limbs since 3 days Inability to speak since 3 days. HOPI Patient was apparently asymptomatic 3 days back she developed weakness in Saturday in left upper and lower limbs which was sudden in onset , gradually progressed and is completely unable to move since 3 days. She is also unable to speak due to deviation of mouth later that day Next day ,the weakness of both limbs of left side became severe and completely lost her speech and not responding to commands. She lost her consciousne

CHEIF COMPLAINTS  42year male Supervisor in petrol bunk came with c/o (on 24-4-2023) 1)Vomiting - 3episodes in the night(8pm on 23-4-2023) 2)Pain abdomen-Diffuse(in the morning 4am) HISTORY OF PRESENTING COMPLAINTS :    Patient was apparently asymptomatic 3 days back and had vomitings in night. Patient takes 90ml/day IB brand liquor.on 23-4-2023 at 8pm patient had vomiting 3 episodes non bilious, non projectile, contains food particles,non foul smelling,non blood tinged.Associated with diffuse abdominal pain, not relieving on bending forward.As the intensity of pain increased in the morning, he came to our causality at 4am. No history of any fever,loose stools,chest pain, palpitation,cough,constipation,obstipation PAST HISTORY K/C/O DM2(on metformin 500mg) & HTN(On Amlodipine 5mg). PERSONAL HISTORY Mixed diet Regular bowel and bladder habits Alcoholic since 23years(takes 90ml/day -IB brand liquor) Daily routine : wakes at 8:00am,bathe and eat tiffin,9am goes to petrol bunk.supervis

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION  CHIEF COMPLAINTS AND HOPI: A 56 year old male patient who is a resident of koilagudem (nalgonda district)who is a daily wage labourer by occupation brought to the casualty in unresponsive state at 1:30 Am .patient was found drowsy from 1 pm on 25/04/2023 And suddenly developed seizure like activity associated with slurring of speech,uprolling of eyeballs,stiffness of all four limbs, Associated with involuntary defecation and micturition and found unresponsive.  No h/o fever ,cough. No h/o neck stiffness and projectile vomitings.  No h/o generalised weakness ,tingling,numbness. No h/o head trauma. Cheif complaints of swellings with discharge not associated with pain on the left forearm. Histor

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  DEIDENTIFICATION -  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 60 year old female homemaker by occupation came to the casualty with C/o giddiness since last 4 hrs.  HOPI - Patient was apparently asymptomatic till 12:00 a.m. today, then she had sudden onset of vertigo with vomiting episodes Vomitings- 2 episodes, non projectile, non bilious, contain food particles as content.  No H/o tinnitus, nystagmus, diplopia No H/o trauma Fever -nt Cough -nt Cold -nt Palpitations -nt Headache -nt SOB - nt Past History - K/c/o Hypertension- On medication(Atenolol 25mg) Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy. H/o Rt. Open simple nephrectomy done under GA 2 months back i/v/o Right Non Functional Kidney with Right Gross Hydronephrosis. Hysterecto

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 32yr old male patient who is a resident of miryalaguda , came with, Chief complaints: of: Fever since 7 days  Pain abdomen since 7 days . History of present illness: Patient was apparently asymptomatic 7 days back then he had fever which is sudden in onset,high grade and with chills and rigors, with body aches, and  releived by taking medication. Pain abdomen since 7 days in right hypochondriac,right lumbar, umbilical region, which is needle pricking type of pain , aggrevated during expiration. Not relieved on medication . No h/o chest pain,sob, palpitations No h/o nause