13 Abhiram Bhashyakarla

 Name B jai Abhiram Rollno 13 This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent. CASE DISCUSSION  A 74 year old patient who is a resident of Narketpalli, a retired RTC driver has come to the OPD with chief complaints of 1) Body pains since 5 days 2) Vomitings since 2 days 3) Inability in swallowing of solids and liquids since 1 day 4) Slurring of speech since today morning. HISTORY OF PRESENTING ILLNESS 30-8-2021 The patient was apparently asymptotic 5 days back. Then he developed  Generalised Body pains of duration 5 days, insidious in  onset. He took medication from Local RMP and noticed no relief Vomitings since 4 days of about 3 to 4 episodes everyday which are non bilious, non foul smelling, non blood stained, non projectile and contained undigested food particles. Inability to swallow both solids and liquids since 1 day Slurred speech since today morning which was sudden in o...

  This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.   Name: B Jai Abhiram  Roll no: 13 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 plan. Following is the view of my case : CASE PRESENTATION A 50-year-old male has presented to the casualty on 15 September 2021 with the  chief compla...

LOG BOOK QUESTIONS question number 1 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem?   ANSWER Pt had shortness of breath for past 20 years . 20 years ago - pt had her 1st episode which lasted for a week-grade II SOB-relieved on taking medication  For next 8 years she had an episode every year around the same time (January)-gradeII SOB-relieved on taking medication       12 years back -pt had a severe episode which lasted for about 20 days -grade II  SOB -pt was hospitalised and SOB relieved on taking medication.  (From then she’s having yearly episodes which last for about a month,which is again in January)-grade II SOB-relieved on taking medication  30 days back-her latest episode of SOB has started    SOB is insidious in onset and gradually progressive.    Initia...