Prasuna Reddy

A 75YR OLD MALE, CARPENTER CAME TO THE CASUALITY WITH C/O BREATHLESSNESS SINCE 3 DAYS AND BOTH LOWER LIMB SWELLING SINCE 2 MONTHS PATIENT WAS APPARENTLY ASYMPTOMATIC 15 YRS BACK THEN HAD SOB WORSENED OVER DAYS, ATTENDED TO A MEDICAL FACILITY AND DIAGNOSED WITH ? HEART PROBLEM AND HYPERTENSION  SINCE 5 YEARS, PATIENT HAD EASY FATIGUABILITY, SOB ON EXERTION WHICH INTERFERES WITH HIS WORK SINCE THEN HE STOPPED WORKING AND STAYS AT HOME. SINCE 1 MONTH, PATIENT HAD SOB AND COUGH ON EXERTION WHICH HAD WORSENED IN LAST 3 TO 4 DAYS TO SOB AT REST.  NO H/O FEVER, NO CHEST PAIN, NO PALPITATIONS, ADMITTED ONE MONTH BACK FOR HEART FAILURE AND AKI ON CKD  K/C/O HTN SINCE 15 YRS, CURRENTLY ON T. AMLONG 10 MG BD ? CAD +, EF 40%  K/C/O CKD SINCE 1 TO 2 YRS ON CONSERVATIVE MANAGEMENT  K/C/O ? COPD ON ASTHALIN INHALER SINCE 1 YR PERSONAL H/O: SLEEP IS ADEQUATE APPETITE IS NORMAL BOWEL AND BLADDER MOVEMENTS ARE REGULAR NO KNOWN ALLERGIES  SMOKES 1 PACK BEEDI SINCE 50 YRS FAMI...

NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. A  54 yr old male, govt service employee by occupation, resident of west bengal, came for regular checkup Patient was apparently asymptomatic until  25yrs ago them he had symptoms of headache, giddiness, for which he went to a doctor and was diagnosed with hypertension, once medications were started, bp came under control In 2000, he stopped medication for 15-20 days again he c/o lightheadedness, neck stiffness, and his tongue was rolling backward (tongue spasm). After this happened 2-3 times, he was hospitalized for 1 day. 16yrs ago, at the age of 38, he had wt loss and on general checkup, found out his...

This is online E log book to discuss our patient’s 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 available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 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 diagnosis and treatment plan.  Prasuna Reddy  Roll no. 59 32/F C/O VOMITINGS - 6 EPISODES NON PROJECTILE, NON FOUL SMELLING, NON BILIOUS AND EPIGASTRIC PAIN AGGREVATED AFTER HAVING FOOD  SINCE YESTERDAY NIGHT  BURPS + NO C/O LOSE S...

This is online E log book to discuss our patient’s 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 available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 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 diagnosis and treatment plan.  PRASUNA REDDY  ROLL NO 59 50/M, HOTEL SUPERVISER, C/O ABDOMINAL DISTENTION SINCE 3 MONTHS SOB AND COUGH WITH SPUTUM SINCE 2MONTHS PT WAS APPARENTLY ASYMPTOMATIC TILL 2019 THEN HE DEVELOPED AN EPISODE OF HEMOPTYSI...

This is online E log book to discuss our patient’s 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 available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 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 diagnosis and treatment plan.  AN 38 YEAR OLD FEMALE BROUGHT TO THE HOSPITAL WITH FEVER, CHILLS AND BODY PAINS FOR 1 WEEK  CASE: CHIEF COMPLAINTS:  A 38 year old female patient came with the complaints of fever, chills, and body pain...

60/F C/O HEADACHE SINCE 6YRS, FRONTAL, RELIEVED ON TAKING PCM, NOT ASSOCIATED WITH NAUSEA, VOMITINGS, ASSOCIATED WITH FEVER AND DIZZINESS  BURNING SENSATION, TINGLING, NUMBNESS IN BOTH LEGS AND HANDS SINCE 2 MONTHS TWITCHING OF HANDS WITH CRAMPS CHEST PAIN IN MID STERNUM WHICH RESOLVES AUTOMATICALLY  BURPS +, HOARSENESS OF VOICE +, CONSTIPATION + POLYURIA +, POLYDYPSIA+, NOCTURIA +, SOB GRADE 2, DRY MOUTH + K/C/O EPILEPSY SINCE 20YRS H/O RT TIBIA FRACTURE SURGERY  H/O RIGHT EYE SX 5 YRS AGO, LEFT EYE SX 3 YRS AGO DM SINCE 8YRS, ON OHAS, CHANGED TO INSULIN SINCE 2 MONTHS H/O TYPHOID FEVER 2 MONTHS AGO H/O HYSTERECTOMY 8YRS AGO PT IS C/C/C NO PALOR, ICTERUS, CYANOSIS, CLUBBING, LYMPHADENOPATHY, EDEMA  BP: 120/70 MMHG PR: 86BPM GRBS: 181MG/DL CVS: S1,S2 HEARD RS: BAE +, NVBS P/A: SOFT, NT CNS: HMF INTACT SENSORY INTACT PROPRIOCEPTION: RT AN LT SIDE ON BOTH UL AND LL IS 10/10 POWER IN B/L UL IS 5/5 AND LL IS 4+/5 TONE IN B/L UL AND LL IS NORMAL GRAPHESTHESIA AND STE...

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: K.G. Prasuna Reddy Roll no. 59 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 55YR OLD SHOPKEEPER CAME WITH C/O BURNING MICTURATION SINCE 3 DAYS PT WAS APPARENTLY ASYMPTOMATIC 10 YRS BACK TH...