Vavilikolanu Sowmya

A 45 year old male came to the casuality with chief complaints of slurring of speech since 4 days, difficulty in swallowing since 4 days. DAILY ROUTINE: Patient is a construction worker, he goes to work early in the morning along with his wife. They work together, have lunch in the afternoon and go back to their house by evening or sometimes late in the night. Patient is married for 20 years now and has three children. HISTORY OF PRESENTING ILLNESS AND PAST HISTORY: Patient was apparently asymptomatic four years ago when had history of trauma to right nail and in view of delayed healing they got tests done and was diagnosed with Diabetes Mellitus and was started on oral hypoglycemic drugs. But sugars were not controlled and high in reports and hence patient was advised to take H.mixtard insulin 24U-16U. But patient takes it irregularly  Patient's wife c/o patient taking large quantities of food and is always hungry (1/4-1/2 kgs rice intake daily) ? Polyphagia On further asking he g...

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. A 63 year old male came to the casuality with the chief complaints of pedal edema since 4 days and facial puffiness since 2 days. He also complained of shortness of breath, decreased urine output and  decreased appetite since two days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic four days ago when he developed facial puffiness which was sudden in onset and was gradually progressive.  Patient also developed pedal edema of pitting type ,2 years ago which was insidious in onset and was persistent ,but gradually progressed to the present state four days ago.  Patient also complains of SOB which was insidious in onset, gradually progressed from grade 2 to grade 3 NYHA. No history o...

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. A 45 year old male presented to the AMC with chief complaint of lower limb weakness since one day  Description of his daily life: The patient is a truck driver, who usually works for transportation of construction material, he gets up early in the morning at around 6:00 am, finishes his morning routine and goes to work by 9:00 am. He drives till afternoon and eats lunch outside with his co workers, resumes work and returns home by 7- 8:00 pm in the evening, finishes his dinner and gets a good 6-7 hour sleep. HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic one day ago when he developed weakness in the left lower limb from knee to foot. He noticed at around 12:00 am, when he go...

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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the 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 a diagnosis and treatment plan.  CASE: A 63 year old female, shopkeeper by occupation, admitted in the ICU, originally came to Ophthalmology OPD with chief complaint of DOV since 6 months.  HISTORY OF P...