159RohithReddy

  March28,2022 G.RohitreddyMBBS 9th semester   Roll no;159 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. CASE: 41 year old male came with the chief complaints of itching and scaling of skin all over the body since the last three months HISTORY OF PRESEN...

  29 years old female homemaker by occupation came to the General Medicine OPD with the  Chief complaint:    - B/L joint pains (knees) since 10 months    - B/L itching in the upper aspect of chest and neck since 10 months          HOPI.: Patient was apparently asymptomatic 10 months ago. Then she developed symmetrical b/l joint pains in the knees which was insidious in onset, gradually progressive, no aggravating factors and relieved on medication i.e. TAB. HYDROXYCHLOROQUINE 200 mg  Associated with morning stiffness. Around the same time she developed itching over neck and upper chest area. As a result of the itching, the area was initially red and turned black.  C/O Alopecia since 10 months. It was gradually progressive leading to severe hair loss over the past 10 months. Associated with thinning of hair. C/O bilateral pitting type of pedal Edema and Edema over the dorsal aspect of hands. C/O generalised pain. C/O Diffic...

G.Rohit reddy ROLL NO:159 PULMONOLOGY 55-year-old-female-with-shortness-of.html 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? A) shortness of breath on and off for the past 20 years, her latest episode of shortness of breath started 30 days ago, her SOB was insidious in onset and gradual in progression.  Pedal edema since 15 days upto the level ankle and pitting type. Facial puffiness since 15 days. She has drowsiness since 2 days She has decreased urine output for the past 2 days. Anatomical localisation :occupational cause Due to continuous inhalation of paddy dust, affecting lung parenchyma  ETIOLOGY AGENT: paddy dust act as a triggering factor Paddy dust is biologically composed of  plant material fungi: of genus epicocum, fusarium parts of insects: House dust mites and storage mites bacteria soil Rice dust ...