Skip to main content

SOB Since 10 days

  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 comments 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.

Presenting complaints:

Patient came to casuality with the cheif complaints of sob since 10 days

Complaints of edema of upper limbs and lower limbs since 6 days

Decreased urine output since 6 days

HOPI:

Patient was apparently asymptomatic 1 year back then he had sob which is intermittent type then he was diagnosed with CKD 1 year back.

10 days back he had sudden onset of sob, which is GRADE IV, orthopnea present, pnd present

Edema of both upper and lower limbs

Lower limb edema which is pitting type upto thigh 

Asymptomatic 10 years ago. History of fall from tree. Developed low backache and neck pain then 3 years back fever, cough loss of appetite for 2 months diagnosed with tuberculosis and diabetes. ATT for 6 months and on OHA since then

Seasonal SOB with wheeze (since 3 years) on and off and with CKD 1 year ago. Increased sob and edema since 10 days decreased urine output for w days



Comments

Post a Comment

Popular posts from this blog

Self assessment

 K.pavan  ROLLNO. 77 Did sleep study in my UG , learned how respiration (spo2) changes accordingly with sleep .Thus awoken my interest in medicine. And started asking how ? Why? For everything  During UNIT duties  https://167pavankotha.blogspot.com/2023/04/45f-with-bl-knee-pains.html  1) what is the cause for her morning stiffness  2)  is occupation the reason for her symptoms? 3) what is the preventive aspect of such disease? https://167pavankotha.blogspot.com/2023/03/this-is-online-e-log-book-to-discuss.html 1) what is the cause for his ascites ? 2) can his lifestyle be one of the cause for his condition ? https://167pavankotha.blogspot.com/2023/03/67m-dementia-with-headache.html 1) what are the differentials for unilateral head aches ? 2) what is the cause for his unilateral headache? https://167pavankotha.blogspot.com/2023/04/chief-compliants-vomitings-since.html 1) how do you confirm that his symptoms are due to the consumption of an unknown compo...
Post a Comment
Read more

80 year old female with sob

  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 solveb 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. CASE: This is a case of a 80 year old female with complaints of  1. vomitings (4-5 episodes) 2. abdominal discomfort since 08/04/2023. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 hours ago.She then had 4-5 episodes of vomiting which contained of food particles,non bile stained,not foul smelling and not blood stained.It is associated with giddiness and abdominal discomfort. No complaints of fever,loose stools,shortness of breath,chest pain,ortho...
Post a Comment
Read more

77M ASCITES(?Non portal hypertensive?SBP H/O EMPYEMA ?TB used ATT 6months

  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" 77 year old male daily wage labourer by occupation president of narayanapuram complaints of abdominal dtension since 3 days  History of presenting illness: Patient was apparently a symptomatic until 3 days ago then he had complaints of sudden on set of abdominal distention accompined with twisting type of pain; Dyspnea, constipation decreased urine output, painful defecation aggravated after having food No complaints of fever headache giddiness No complaints of bilateral peda...
Post a Comment
Read more