63. Mahith Guduri

1. SOB since 20 days Pt was apparantly asymptomatic 20 days ago. Then she developed breathlessness which was gradually progressive in nature from grade 2 to 3. Aggravated on exertion and on supine position. Relieved in sitting position. Orthopnoea + not a/w wheeze. No c/o chest pain, cough, pnd, vomitings, abd pain or decreased urine output or fever. Not a k/c/o DM, TB, asthma, epilepsy K/C/O HTN since 1 year (on regular medication) H/o hospitalisation 20 days back I/v/o breathlessness and fever. O/E Pt c/c/c BP 110/60 mmHg PR 140bpm RR 45 cpm SpO2 92% in RA GRBS 150mg% CVS S1 S2 + RS Dyspnoea + Wheeze - Trachea central NVBS On auscultation - BAE +, decreased breath sounds in L IAA, ISA, AA, crepts in L IAA P/A Soft, non tender, BS+ CNS No FAD -ECG -CXR -2D ECHO 1. Tachycardia 2. Moderate TR with PAH 3. Sclerotic AV 4. EF 56% 5. Dilated RA, RV, MPA 6. IVC 1.6 cms LAMA NOTES Patient and the attenders have been explained about the risk and complications and poor prognosis in their own un

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. With invaluable information from https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html?m=1 "H/o admission to our hospital in July i/v/o jaundice. Had high sugars and HbA1c

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. Elderly male patient who is a farmer by occupation , chronic alcoholic . Presented to opd with  History of pain at right metatarsal joint since 5 months , associated with joint swelling  and fever for which he

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. A 73 y/o male came to the casuality in unconscious state since 12 pm yesterday. The patient was apparently asymptomatic 3 days back. Then he had fall from bed, sustained injury over chest region. Went to local