GENERAL MEDICINE

A 49 year old female came in to casualty with chief complaints of fever since 10 days, cough since 10 days, SOB since 2-3 days, decreased urine output since yesterday.  History of presenting illness: Patient was apparently asymptomatic 10 days back then she developed fever which is of incidious in onset, intermittent in nature and is of low grade fever, subsided on taking medication. cough since 10 days which is associated with sputum and scanty in amount sob on excertion 5 to 6m months back Progressed to grade 4 ( at the time of presentation) and worsening.  pedal edema since 5 to 6 months which is associated facial puffiness. decreased urine output since yesterday night. H/o covid vaccination 8 days back. Past history: k/c/o HTN since 1 year and is on Tab. TELMA-H (40/12.5 MG) - but is Irregular in taking medications. -? k/c/o kidney disease 5-6 years back but not on any medications. No history of DM, CAD, asthma, TB, epilepsy. No h/o similar complaints in the past.  Personal

This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 30 years old female came to opd with chief complaints of bleeding from gums since yesterday morning with multiple reddish swelling in oral cavity Multiple small swellings all over the body ( petechiae)  since yesterday evening Increased menstrual bleeding since 10 days  Fever si

This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs. This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome. I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 32 year old man had come to the OPD with chief complaints of pedal edema , low urine output and shortness of breath since the past 4 days The patient used to work as an autodriver and his daily routine consisted of him waking up at 6am and he drove children to school , his aver