KOTA HRITHIK RAJ ROLL NO 76

  This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss out 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 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitt A 80

  A 70 year old female patient came to general medicine OPD with chief complaints of Shortness of breath since 1 month Generalised body swelling since 10 days Chest pain and palpitations on and off since 1 month Vomitings 2 episodes, 1 month back HOPI Patient was apparently asymptomatic 1 month ago and then developed SOB grade IV for which she was taken to local hospital and got treated conservatively for raised creatinine and then SOB got relieved temporarily. Again after 10 days developed SOB and for which she was taken to hospital to see the creatinine levels raised and adviced for dialysis and they denied and was discharged after consecutive management and decreased symptomatically. After 10 days developed swelling of both lower limbs and abdominal distention and both upper limbs edema for which taken to hospital and foleys was placed as patient was bed ridden (since 1 month due to generalised weakness and decreased power in both lower limbs) And now came with chief complaints SOB