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 ...

 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...

  M.Sneha Roll no -74 3rd Semester QUESTION-1 : Critical Appraisal - GASTROENTEROLOGY - https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html - The case discussed is of Chronic liver failure and kidney disease. - The case is very well explained. - The main abnormalities of patient are highlighted which are easy to grasp.  - There is a video link kept which is very clear about ascitic tap. CNS -  http://keelasreevalli.blogspot.com/2021/09/a-52-yr-old-female-homemaker-by.html - This case is well presented. - The day to day investigations and treatment are mentioned clearly. - The clinical presentation of patient is clear in the pictures. HAEMATOLOGY - https://mahithguduri63.blogspot.com/2021/09/pancytopenia-under-evaluation.html?m=1 - The above case presentation is nice.  - The case is of Pancytopenia.  - The vitals of the patients are well updated day to day. CARDIOLOGY , PULMONOLOGY - https://vamsikrishna1996.blogspot.com/2020/...

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 : Unit 4 admission - A 45year old female resident of halia came to the casualty with the complaints of  - Fever since 5days - Vomitings from the afternoon at ar...

 M.SNEHA ROLL NO-74 3RD SEMISTER QUESTION-1 : Clinical Appraisal- https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 - The patient's clinical history is well presented in a chronological order by mentioning even minute details in his past. - Drug history is presented which attrevated his symptoms. - Provisional diagnosis is made clear with appropriate explanation regarding the pathology and causes.  - General and Systemic Examination is done with appropriate pictures posted which makes me clear in understanding the case. - The cause of Polyarthritis is well defined with differential diagnosis and their classification chart. - The answers to the questions are well explained to the point. - The short cases are also well mentioned with their periodic follow up and appropriate treatment is given for the cause. - The analysis of diagnostic and therapeutic uncertainties are detail. QUESTION-2 , 3 : 1. Diagnosis - Acute glomerulonephrit...

M. SNEHA ROLL NO - 74  3RD SEMISTER    NOTE The following online e-log  aims at discussing our patients de-identified health data shared after taking the consent. I have been given this case to understand patients clinical data analysis to develop my skills in providing the treatment and diagnosis based on the history,investigations and clinical findings. Thanks to Pavan Kalyan Sir and Shashikala Mam for the guidance. A 62 year old female resident of chityala has 3 children , presented to casuality in a irritable and altered state with complaints of  Vomiting (5-6 episodes) , Loose stools (2 episodes) since yesterday HISTORY OF PRESENT ILLNESS : ➣  Patient was apparently asymptomatic 15 years ago  ➣  Then she had complaints of cough intermittently and SOB early morning.She was diagnosed to have emphysema secondary to biomass exposure. ➣  6 Months back , she developed low grade fever , shortness of breath ( grade 2)  ➣  No bilateral ...

NAME- M.SNEHA ROLL NO-74 3RD SEMISTER  QUESTION-1 Competency tested for peer to peer review - My review on this elog https://73myashwitha.blogspot.com/ ➡ Her review is nice on the cases done by our seniors. ➡ The cases were clearly understood by her. ➡ The review is clear regarding presentation, pathophysiology, flowcharts, investigations, diagnosis, treatment. ➡ The review of all other infectious diseases, gastroenterology, mucormycosis should have been done. ➡ She presented her own case report well. ➡ She discussed appropriately about the diagnostic and therapeutic uncertainities regarding the cases. ➡ Her point of view regarding clinical postings is reliable. QUESTION-2 https://madamsneha74.blogspot.com/2021/07/case-of-covid-19.html QUESTION-3 Case-1 : https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1 The given case diagnosis is Acute kidney disease secondary to UTI with associated denovo DM. Investigations and treatment are well mentioned ...