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A 62 year old male Patient with CKD on MHD

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This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan.  CHEIF COMPLAINTS :- A 62 year old male patient farmer by occupation, resident of Nalgonda came to OPD with cheif complaints of Pedal edema since 2 years and Shortness of breath since 2 months. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 5 years back then he developed SOB(Grade 3) which is sudden in onset and gradually progressive and relieved on lying down, diurnal variation present more in night and not associated with fever, cold, cough, chest pain and developed pitting type of pedal edema since 2 years. HISTORY OF PAST ILLNESS:- Known case of Hypertension sinc
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A 55 YEAR OLD MALE PATIENT WITH SUPERFICIAL BURNS AND ACUTE PANCREATITIS

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January 18,2023 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan.  A 55 year old male patient shepherd by occupation  came to the opd with the chief complaints of burns over the face due to oil spillage and pain in the abdomen since two days . Date of admission :14/01/2023 HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic  3years back ,then he noticed fever associated with body aches for which he went to a hospital where he was diagnosed with diabetes mellitus and was on oral hypoglycemic agents since 3years.  Then 3 days back, he underwent trauma ( burns -oil spillage as he had stepped on fire camp)under the effect of alcohol (90m
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A 55YEARS OLD MALE PATIENT WITH CHEIF COMPLAINT OF FEVER

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November 30, 2022 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. A 55 year old male patient, daily labourer by occupation, resident of Narketpally, came to our hospital with cheif complaint of fever. Date of admission:- November 27, 2022 History of present illness:- Patient was apparently asymptomatic 5 days back and developed fever which is of high grade, not associated with chills and rigors, fever is nocturnal and not relieved on taking medication and developed generalized weakness and dragging type of pain of both lower limbs since 3 days and increased frequency of stools since 3 days. No history of cold and cough No history of bleeding from gums No
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A 56 years old Male Patient With Portal Hypertension

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THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/O pain in abdomen since 4days. Abdominal distension since 4days.  Decreased urine output since 4days.  HISTORY OF PRESENT ILLNESS :- Patient was apparently asymptomatic 4days ago then he developed pain in abdomen (upper abdominal region).H/O distension of abdomen since 4days.  No H/O fever, vomiting, nausea,constipation.  H/O last alcohol intake 5days back.  HISTORY OF PAST ILLNESS :- No K/C/O Hypertension, Diabetes, coronary artery disease.  TREATMENT HISTORY:- No previous treatment history.  PERSONAL HISTORY:- Married Appetite-normal  Diet- Non veg Bowels- regular  Micturition- normal 
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A 33years Male Patient With Uncontrolled Diabetes.

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THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/O blisters over both foot since 2years back.  Pain in abdomen and constipation since 1year.  Pain on either side of the jaw since 6 months.  HISTORY OF PRESENT ILLNESS :- Patient was asymptomatic 7 years back and then he developed pain in the abdomen and epigastric burning sensation, for which he visited to local hospital and was diagnosed to be having diabetes and followed by which he developed papules over the foot ,which lead to blisters and hyperpigmentation of skin,on the skin of tibia of both limbs 2 years ago, not associated with itching.   Patient had pain while eating since 6 mo
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A 40years female with chief complaint of fever, headache,body pain since 10 days.

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THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/O fever since 10days C/O headache  since 10days C/O body pains  since 10days C/O cough  since 10days. HISTORY OF PRESENT ILLNESS :- Patient was asymptomatic 10days back and then she developed fever which is high grade, associated with chills and rigors.  Dry cough since 10days.  Neckpain and headache which is diffuse in nature since 10days.  Decreased appetite and Burning micturition since 4days.  HISTORY OF PAST ILLNESS :- N/K/C/O diabetes, Hypertension, Tuberculosis, epilepsy, Asthma, CHD.   TREATMENT HISTORY:- No previous treatment history.  PERSONAL HISTORY:- Married  Occupation-farm
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A 45Years old male patient with Decreased sensation of Right foot.

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THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- Patient complaint of decreased sensation of Right foot. Blackish discolouration of right toe since 2 weeks Bedsore on the back since 1month. H/O previous amputation of left leg above knee . HISTORY OF PRESENT ILLNESS :- Patient was apparently asymptomatic 1month back,then he developed Ulcer over the lower back of body  which is the dependent portion while he was lying in supine position . It is gradual in onset and progressive in nature. No H/O of discharge.  No  H/O of fever.  L/E of ulcer A 4×3cm ulcer was present over the coccygeal region.  Margins are inflamed. Edges are slopy Floor is
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