Bhuvana phanindra Sharma

This is an 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 patient's clinical problems with collective current best evidence based inputs.  E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Patient came with the  C/o generalized weakness of lower limbs since 3 months  HOPI Pt was apparently asymptomatic till 3 months back then he had a h/o slip and fall following which he used to walk with support.1 week ago he had h/o fall again following which he is unable to walk since then  No h/o giddiness,LOC, head injury No history of involuntary movements Tingling sensation present in bilateral toes of lower limbs PAST HISTORY  K/c/o HTN since 20 years on tab ramilpril

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. Patient came with the c/0 - Fever & chills since 3 days, (intermittent) relieved after taking medication c/o palpitations since 2-3 days   - Difficulty in breathing since 6 days. Heaviness in chest since 6 days - B/L pedal edema on and off(pitting type) since 6 months - Burning micturition (+) HOPI   Patient was apparently asymptomatic 6 months back then she had c/o palpitations followed by she had c/o shortness of breath on exertion later progessed to Grade 4 for which she got admitted

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 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. CASE HISTORY C/O of fever since one week high grade on and off Vomitings since 4days(5-6 episodes/day) Nausea + Swelling of Left Lower Limb since 4days(thigh to calf) Pain+, local rise of temperature+ HOPI - Patien

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 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. 40 yr old male presented with chief complaints of pedal edema since 10 days B/L pitting type upto knee - facial puffiness since 2 days  - SOB grade 2 since 10 days - Palpitations+ -Post prandial chest pain s