M.Laxmi Sowmya 71

  Under the guidance of  INTERN PRAKASH SIR 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 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. CASE SCENARIO A 60 year old male, daily wage labour  came to casualty with complaints of fever since 3days,nausea and vomiting from yesterday, difficulty in sw...

  Question 1 : Testing peer review competency in the active reader of this assignment : Long Case : Bilaterally Symmetric Chronic Progressive Inflammatory Peripheral Polyarthritis This long case is very well presented.Patient past history and present history of illness was clearly taken and each and very particular was asked for diagnosing the patient condition.The differential diagnosis like Rheumatoid arthritis P soriatic Arthritis , Enteropathic Arthritis, Reactive Arthritis,  SLE  was ruled out with out any confusion. Short Case 1 : Idiopathic Parkinson's Disease Stage 1 with denovo HTN. Multiple System Atrophy - Parkinsonian Type (MSA-P). This case seemed to be very interesting to me that the patient is having resting tremors and prosody impaired. Every system examination is done and presented with photographs. The understanding of the case is made easy and their diagnostic approach is highly appreciable. Short Case 2 : IATROGENIC CUSHINGS SYNDROME SECONDARY TO TOPIC...

 NAME : M.LAXMI SOWMYA ROLL NO : 71 3RD SEMESTER QUESTION 1 : I had gone through my friends assessment where they mentioned about the different cases and provisional diagnosis,laboratory investigations and treatment. Some of them also added pictures related to the disease and mechanism how it occur  clearly. They really worked hard and depicted about many cases. They even admired the whole members of general medicine for helping them which is appreciable. QUESTION 2 : I have not done any elog of  the patient .  QUESTION 3,4 : PATIENTS WITH LOW BACKACHE AND RENAL FAILURE : AKI  http://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1 she has mentioned clearly about history of present and past illness. She has presented case details with laboratory investigations, provisional diagnosis and treatment. A 58 year old male patient  chief complaints are : - lower abdominal pain: 1 week  -burning micturation:1week - low back...

 NAME : M.LAXMI SOWMYA ROLL NO : 71 3rd Semester QUESTION 1  CASE 1 : PULMONOLOGY A 55 year old female with chief complaints of shortness of breath, pedal edema and facial puffiness https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html History of presenting illness ;  Patient had episodes of shortness of breath for the past 20 years,12 years ago she had another episode of SOB which lasted for 20 days and she had hospitalized and SOB decreased upon treatment at the hospital. 5 years ago she was treated for anemia with iron injection.She was diagnosed with hypertension 20 days ago,pedal edema since 15 days upto the level ankle and pitting type and facial puffiness since 15 days. PROVISIONAL DIAGNOSIS : ACUTE EXACERBATION OF COPD ASSOCIATED WITH RIGHT HEART FAILURE AND BRONCHIECTASIS    IN SEVERE COPD---OXYGEN CONCENTRATION IN THE BLOOD FALLS---PULMONARY HYPERTENSION---HIGH BLOOD PRESSURE IN THE PULMONARY ARTERIES PUTS EXCE...