CASE DISCUSSION

����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������...

A 50 YEAR OLD FEMALE  A 50 year old female came to the OPD with   CHIEF COMPLAINTS-  Pain   Stiffness in several joints since three months HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 10 years ago then she developed a dull aching type of pain and stiffness in her metacarpophalangeal joints in her right hand associated with limitation of movements at the joint . Then within 6 months of the onset of the disease, it has progressed to involve other joints of the right hand,left hand as well as wrist and elbow joint   Then within 4 years of onset she started feeling pain in the joints of feet and ankle   Since 3 months the pain  became unbearable limiting her activities . PAIN  was insidious in onset,slowly progressive,dull aching type of pain,non radiating,associated with swelling ,stiffness and limitation of movements in the involved joint.       STIFFNESS and PAIN was more in the first one hour of waking up ...

"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.  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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable  CASE OF MULTIPLE SKIN LESIONS  A 23 year old lady , psychologist by occupation resident of nalgonda came to opd with c/c of painful skin leisions over the upper and lower limbs and back of trunk since 8 months  HISTORY OF PRESENT ILLNESS: Patient was apparently assymptomatic 8 months back she developed multiple red lesions on both upper limbs not associated with burning or itching after 1 week she developed itching and burning then she consulted local doctors who prescribed some medications but le...

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...