23,B.Divya

DIVYA(2019 BATCH) 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 84 year old male came to the OPD with cheif complaints: Sob since 3 days Tightness of the chest since 3 days. TREATMENT - 1)INTERMITTENT CPAP 2)HEAD END ELEVATION 3)FLUID RESTRICT

Camp case 80 yr old male  CHEIF COMPLAINTS: Came with c/o giddiness since 15 days. HOPI: Pt was apparently asymptomatic 15 days back and then had giddiness which was  episodic daily once ,mrng before lunch a/w blurring of vision during that episode and relieves after taking food. H/o tingling and numbness of lower limbs since 10 yrs extending from tip of toes to shin of tibia  H/o burning sensation of feet since 5 yrs  H/o chest pain since 4 days , pricking type ,on and off ,no precipitating factors H/o loose stools for one day which was one week ago and subsided on medication. No h/o polyuria polydypsia  No h/o decreased urine,output burning micturition  No h/o fever,pedal edema ,facial puffiness  No h/o constipation, No h/o similar complaints at night times No h/o sob , palpitations  PAST HISTORY  K/c/o Htn on tab telma am -40/5 K/c/o dm on INJ MIXTARD 20UBBF ,15U BD  K/C/O CKD SINCE 13 yrs  K/C/O HFPEF 2° to CAD since 1 month  H/O stable angina 1 month ago  No other comorbidities  P