Dr. Sarbesh Mishra

This is an online E log book to discuss our patient's de-identified health data shared after taking her guardian's signed informed consent.Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs". This E log book also reflects my patient-centered online learning portfolio and your valuable comments on comment box is welcome. CASE DISCUSSION: A 65 year old female came to Medicine OP with chief complaints of  + Pedal edema since 3 months  + SOB since 1 week + Decreased urine output since 1 week + Fever since 4 days History of Presenting Illness: + Patient was apparently asymptomatic 3 months ago when she suddenly developed Pedal Edema  which was gradual in onset, slow in progression and associated with Shortness of Breath ( SOB ) on exertion with decreased Urine output. + SOB then progressed to

This is an E-log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence-based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable comments in comment box are most welcomed . I have been given this case, in an attempt to solve and understand the topic of "Patient's clinical data analysis”. This has helped me develop my competency in reading and comprehending clinical data including history taking, clinical findings and investigations. The goal is to come up with a diagnosis and treatment plan. This is a case of a 16 yr old male pt presented to medicine op on 26th October 2021   with chief c/o fever since 4 days   c/o generalized pain abdomen

34 YEAR OLD MALE MASON BY  OCCUPATION CAME TO THE OPD WITH C/O  Blurring of vision RE greater than LE since 3 yrs not associated with -headache  -nausea  -vomiting  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 3 yrs back ,while he was doing his work complained of giddiness and fell( black outs)non postural,not associated with nausea, vomitings,vertigo,tinnitus,earfull ness ,he was taken to a local hospital and was diagnosed with HIGH BLOOD PRESSURE ( used medication , unknown) for over 2 1/2 yrs C/O slurring of speech since 1 year ( progressive)  C/O body pains since 1 year 0 H/O giddiness 1 week back taken to local hospital ,was on medication ( unknown)  No C/O chest pain , palpitations, shortness of breath ,pedal edema  Past History: K/C/O HTN since 3 yrs (on past atenolol 50mg ,nicardia 10 mg,telma 40 mg)  Not a K/C/O DM,ASTHMA, EPILEPSY,TB  Personal History: He is alcoholic (90ml /day)and smoker ( 2 per day)since 10 yrs  Family History: No significant f