74 Madam Sneha

Saturday, December 18, 2021 A CASE OF 45 YEAR OLD FEMALE PATIENT WITH SOB, FEVER, PAIN ABDOMEN AND GENERALISED WEAKNESS. A 45 year old female came to the OPD with the C/O Fever since 3 days HOPI  : Patient came with c/o fever since 10 days Generalised body pains since 10 days  Pain abdomen since 5 days  History of presenting illness : Patient was apparently normal ten days back then she developed fever , low grade associated with chills and rigors not associated with cough, no burning micturition , no vomiting , no loose stools. Fever subsided after medication 5 days back. Then, since 5 days patient developed pain abdomen around umbilicus and epigastrium, non radiating associated with SOB grade 3 and 4 , not associated with nausea and vomiting , loss of appetite . History of past illness : Not a K/C/O HTN/DM/TB/Epilepsy/Asthma/CAD/CVA Patient was hysterectomised 15 years ago. Family history - Not Significant Personal History : Diet- mixed Appetite- normal Sleep- adequate Bowel and blad

 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.  A 32 year old female came to OPD with chief complaints of pain abdomen and vomiting since morning. HISTORY OF PRESENT ILLNESS : - Patient was asymptomatic till the previous day - Symptoms developed in the morning aft