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 t...

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...

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...

 M.Bhuvana phanindra Hallticket no:1701006100. A 28year old female presented to casualty with complaints of  -headache since 3 days, -Fever since 3 days, -Decreased appetite since 3 days . History of presenting illness: Patient was apparently asymptomatic 8 days back later she ingested rodenticide (zinc phosphide) of aprroximatly:12-14grms  After ingestion ; two episodes of vomiting, abdominal pain , difficulty in speech and altered behaviour. Was treated for the same. 3 days back she developed generalized headache, no aggrevating and reliving factors, fever continuous low grade type ,not associated with chills and rigors. Associated with decreased appetite. No history of loss of consciousness, seizures, sob , involuntary defecation and micturition. No history of Loose stools. Past history: No similar complaints in the past. Not a know case of  DM, HTN, TB, asthama, or any other chronic illness. Personal history: Appetite: decreased Diet :mixed  Bowel and bl...

M. Bhuvana Phanindra Sharma Hall ticket no: 1701006100 A 65 year old male toddy climber by occupation came to the casualty with cheif complaints of - fever since 3days -abdominal distention since 2days -urinary retention since 2days History of presenting illness: -Patient was apparently asymptomatic 3days back later he developed fever which was on and off, low grade type of fever, without any diurnal variation and relieved on taking medication,  -later he developed abdominal distension which was insidious in onset, gradually progressive to the current size, no aggrevating and relieving factors. -He also complained of urinary retention since 2days associated with burning micturition . - No history of chills, rigors vomiting, nausea, loose stools and pain in the abdomen. Past history: 10 years back  he had swelling and pain abdomen ;was diagnosed with left sided inginal hernia, operated , preoperative and post operative period uneventful. 4 years back patient had complaint ...