CASE DISCUSSION

CASE:A 55 yr old female with the complaints of palpitations,chestpain, and shortness of breath. I have been given this case to solve in an attempt to understand the topic of ''patient clinlcal data analysis''to develop my competency in reading and comprehending clinical data including history,clinical findings,investigations and come up with a diagnosis and treatment. https://himabindu5.blogspot.com/2020/05/hello-everyone.html Following is my analysis of this patient's problem: The problems in order of priority i found. CHIEF COMPLAINTS Palpitations(since 2 months) Chest pian on left side on epigastric region, nonradiating type (since 2 months) Shortness of breath: progressive in nature with present status grade 3-4 of dyspnea Paroxysmal nocturnal dyspnea (since 2 months and increased past 10 days ) Bilateral pedal edema upto ankle ( since 1 week ) Decreased urine output ( since 1 week ) 1.PALPITATIONS DIFFERENTIAL DIAGNOSIS OF PALPITATIONS: Arrhythmias (atrial fibr

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, clinical findings, investigations and come up with a diagnosis and treatment Following is my analysis of this patient's problem: The problems in order of priority I found  1.Swelling 2.Headache( Migraine) 3. Muscle weakness  4. Mouth ulcers 5. Excessive Hair Growth 6. Kidney dysfunction-Oligouria 7.Poor vision 8.Left hand numbness 9. Autism 10. Broken Leg 11. Intolerance to some kind of food SWELLING Swelling is present since 1 year age. It is mostly present on face and abdomen. Swelling aggravated on exposure to smoke, emotional stress, physical activity, certain drugs such as sulpha drugs and foods like fava beans She also presented with severe jaundice at the time of birth. All these features are seen in Oxidative stress. KIDNEY DYSFUNCTION-OLIGOURIA It is also seen in Oxi