Bimonthly assessment - August

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. Patient and his/her attenders have been informed and their consent has been taken. A 65 yr old female was brought to the casualty with  complaints of  • Difficulty in moving upper limbs and lower limbs since 3

A 45yr old female came to causality with chief complaints of neck pain , headache and wrist and ankle joint pain since 4 yrs  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐑𝐄𝐒𝐄𝐍𝐓𝐈𝐍𝐆 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- Patient was apparently asymptomatic 4 yrs ago the she developed fever insidious in onset, not associated with chills and rigor.  𒊹︎︎︎ She developed headache diffuse in nature , not associated with nausea and vomitings since 4 yrs No H/o cough, cold at the time of fever 𒊹︎︎︎ No H/o giddiness 𒊹︎︎︎ C/o B/L wrist joint paina and ankle joint pains 𒊹︎︎︎ C/o Metacarpo phalanges pain (+) 𒊹︎︎︎ C/o Interphalanges pain (+) 𒊹︎︎︎ C/o Tenderness present over wrist,mcp, Ip 𒊹︎︎︎ H/o fever & episode in last 8months 𒊹︎︎︎ Last episode 20days back 𒊹︎︎︎ Fever last for 1day relieved after taking medication 𒊹︎︎︎ H/o oral ulcer on hard palate since 10days  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐀𝐒𝐓 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- 𒊹︎︎︎ H/o CVA left Up & Ll weakness &slured speech 10 years back 𒊹︎︎︎ H/o Appendectomy 8year back  𒊹︎︎︎

  𝗖𝗔𝗦𝗘 𝗦𝗖𝗘𝗡𝗔𝗥𝗜𝗢 :- A  35yr old male came to causality with chief complaints of itching skin lesions all over body since 8months  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐑𝐄𝐒𝐄𝐍𝐓𝐈𝐍𝐆 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- Patient was apparently asymptomatic 8months ago the he developed small papulesbover cheek after which it transformed into erythematous scaly plaque first on nose cheek then over entire face, neck ,back ,hand and to  legs  𒊹︎︎︎ H/o itching present over plaques  𒊹︎︎︎ H/o photosensitivity  𒊹︎︎︎ Swelling restrictions of movements persistent  𒊹︎︎︎ C/o Wrist joint pain (+) 𒊹︎︎︎ C/o Metacarpo phalanges pain (+) 𒊹︎︎︎ C/o Interphalanges pain (+) 𒊹︎︎︎ C/o Tenderness present over wrist,mcp, Ip 𒊹︎︎︎ H/o fever & episode in last 8months 𒊹︎︎︎ Last episode 20days back 𒊹︎︎︎ Fever last for 1day relieved after taking medication 𒊹︎︎︎ H/o oral ulcer on hard palate since 10days  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐀𝐒𝐓 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- 𒊹︎︎︎ H/o CVA  left Up & Ll weakness &slured speech  10 years ba

CASE SCENARIO  A 90yr old female came to the Casuality with Chief complaints of Fever since 7 days HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 10 days back but then she had bilateral pedal edema pitting type with fever and chills  intermittent and no evening rise in temperature she also had decreased urine output and decreased appetite since 10 days she has vomiting 3episodes 5 days back  which was non bilious and non projectile containing food particles resolved after taking medication  CHIEF COMPLAINTS -      Fever -10 days      Decreased appetite - 10 days       B/L pedal edema - 10 days       Decreased urine output -10 days        Vomiting- 5 days back   PAST HISTORY:-                                                                No C/O - chest pain   H/O- Hypertension - 2yrs on medication                                                  Not a K/c/o Asthma,Epilepsy,Tb TREATMENT HISTORY:- Tab.Amlodipine5mg             + Tab.Atenolol50mg PERSONAL HISTORY  Mar

General medicine assessment Name:Alekya kallem Batch:2019 Long question: Q1 𝑪𝒂𝒔𝒆 1𝒍𝒊𝒏𝒌 - https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006001-case-presentations.html   𝑪𝒂𝒔𝒆 𝒊𝒏 𝒃𝒓𝒊𝒆𝒇- A  47 year male patient resident of Nalgonda came with chief complaints of abdominal distension and swelling of bilateral lower limbs since 6 months which is gradually increasing since 10 days and fluid discharge from the umbilical area since 2 days and fever since 2 days.   𝑰𝒏𝒔𝒊𝒈𝒉𝒕𝒔 - The scenario of the case was clearly presented. And also all the investigation reports were updated regularly. It would have been even better if the treatment is updated regularly. 𝑺𝒉𝒐𝒓𝒕 𝒄𝒂𝒔𝒆𝒔: Q2. 𝑪𝒂𝒔𝒆 1 𝒍𝒊𝒏𝒌 - https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006001-case-presentations.html   𝑪𝒉𝒆𝒊𝒇 𝒄𝒐𝒎𝒑𝒍𝒂𝒊𝒏𝒕𝒔- • Vomitings • Abdominal pain since 4days • Swelling of right foot non pitting type • Anorexia,myalgia,fatigue and anasarca sinc