Nikitha Edam roll no:48

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  65 year old female with fever , generalised abdominal pain and loose stools. A 65 yr old woman, from narketpally who is a house wife ,came to the hospital with chief complaints of  fever with chills since 8 days and pain abdomen since 6 days, loose stools since 6 days. *HISTORY OF PRESENT ILLNESS- The patient was apprently asymptomatic one week back and then she developed Fever-which was sudden in onset,high grade,associated with chills and rigor,relieved on medication Lower abdominal pain-sudden in onset,continuous cramping like/dull aching and aggravated on food intake Vomiting-2-3 episodes /day,non-bilious,non-projectile,watery consistency Loose stools-multiple episodes in large volume, watery,non blood or mucous in stools History of burning micturition since 4 days-high coloured urine and no hematuria *PAST HISTORY- History...

  A 46 year old female who is a housewife and a resident of nalgonda  came to the Hospital with chief complaints of shortness of breath since 5 days HISTORY OF PRESENTING ILLNESS- The patient was apparently asymptomatic 5 days back and then she developed shortness of breath which was insidious in onset,gradually progressive,aggravated on lying down and relieved on medication Associated with orthopnea,wheeze ,paroxysmal nocturnal dyspnea Anasarca since 5 days and cough with expectoration since 5 days  which was insidious in onset PERSONAL HISTORY- Chronic smoker since 20 years PAST HISTORY- Known case of COPD since 12 years and is on inhaler GENERAL EXAMINATION- raised JVP RESPIRATORY SYSTEM EXAMINATION - Inspection-normal Palpation-normal Auscultation-bilateral decreased breath sounds and bilateral rhonchi and crepitations present at infrascapular and infraaxillary areas CVS EXAMINATION- Inspection-normal Palpation- *left parasternal heave *palpable P2 *apex beat at 5th i...

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,clincial findings,investigations and come up with the diagnosis and treatment plan. Problems of the patient- 1.swelling of face and abdomen 2.migraine (associated with AURA) 3.fatigue 4.sleeplessness 5.oliguria Reasons- 1.swelling She was diagnosed with heamolytic anemia due to G6PD deficiency which leads to hemolysis of RBCs . This deficiency causes decreased generation of NADPH and ATP which causes oxidative stress.This may be the reason for swelling INVESTIGATIONS -Hemogram which shows anemia -ECG-Signs of right heart failure  -CXR-left atrial enlargement -AST and ALT levels increased TREATMENT -Avoiding stress -oxygen therapy -cimetidine to reduce swelling 2.MIGRAINE ASSOCIATED WITH AURA patient has a history of headache since she was 2 years old,the severity increased at the ...