Kasu ajay reddy

65 year old female who used to work as a tailor came to casualty with complaints of shortness of breath since 6 days ,even in sitting position.She also complaints of swelling of limbs since 6 days ,pitting type of edema upto knee since 2 weeks .decreased appetite and increased thirst since 2 days  HOPI: patient was apparently asymptomatic 10 years back later she developed SOB ,swelling of whole body for which she was admitted in hospital on 1/7/2012 for which she was diagnosed having dilated cardiomyopathy and severe LV dysfunction a d she was in lasix and later got checked  every yearly on 2D echo which showed following findings  2014: LV dysfunction, moderate MR/TR,moderate  PAH ,mild AR 2015: decomponsated heart failure / NYHA CLASS III 2016 : admitted with dyspepsia ,vomiting ,cough,SO ,sleepiness and used DYTOR forvtgat and on 2016 June diagnosed to have left sciatica  2017 : went to hospital with dry cough ,sob ,chest pain and EF=20% 2018: having SOB II ,c...

60 year old female with complaints of uncontrolled sugars since 3 days and decreased vision in left eye since 1 year  Patient was apparently asymptomatic 3 days  back then She is having uncontrolled sugars .she has come to hospital with loss of vision in  left eye since 1 year  Past history : H/o cataract surgery 5 years back H/o diabetes mellitus since 3 years on medication of glimiperide and metformin  No h/o hypertension , asthma ,epilepsy  Personal history : Married   Occupation farmer  Bowel and bladder regular No known allergies  No addictions  Family history: Not significant with the patient history  On examination: Patinet is conscious/coherent/ cooperative  No pallor /icterus/cyanosis/clubbing/lymphadenopathy  BP -110/70mmhg PR-78BPM RR-16CPM SPO2-98 ON RA GRBS-103 mg /dl on admission  Systemic examination: CVS - S1 S2 heard CNS- NAD RS- BAE + ,NVBS HEARD P/A - SOFT ,NON TENDER. Eye examination:   ...

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"   A 30 year old female farmer by occupation  Came to opd with complaints of weakness of bilateral lower limbs  and weakness of bilateral hands since 10 days HOPI: Patient was apparently   asymptomatic 15 days back then she had fever high grade and loose stools (4-5 episodes) , continuous associated with generalized body pains and joint pains (knee, ankle ,wrist,small joints) relieved with medication.  2 days later she had pedal edema ,facial puffiness a/w tingling ...

Short case final exam   This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent  35 year old male patient, Resident oframchandrapuram ,HYD,works as daily wage labourer . Who is a chronic smoker(1 pack of beedi every 2 days )  and taking alcoholic (90 ml daily ) since 20 years  Presented with 3 months history of painless lesions - papules with erythema  that started initially over face then extended to upper limb and lower limb ,trunk . No hypodense lesions ,no fever ,no pus discharge ,no loss of sensation ,no genital lesions . Patient got topical cream ,soap and some oral drugs from medical shop - OTC  He used for 2 months ,few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs . 14 days back patient developed blackish  skin discoloration over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and...

E log medicine  “ This is an online e log book to discuss our patients deidentified data shared after taking his /  her /guardians consent ”  A 50 year old female with joint pains  A 50 year old female came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness : She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(MCP joints) of right hand with limitations of movements at the joints.  Then within 6 months of onset the disease progressed to involve other joints of the right hand and left hand as well( wrist joint and elbow joint)  Within 4 years of onset she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive dull aching type of pain, non radiating, associated with swelling, stiffness...

THIS IS ALL ABOUT MY THOUGHTS AND SUBSEQUENT REVIEW REGRADING THIS CASE OF "42 YEAR OLD FEMALE WITH MULTIPLE HEALTH EVENTS" May 16, 2020 May 16, 2020 I have been given this case 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. Following is my analysis of the patient's problem: The problems in order of priority are:  LEFT SIDED WEAKNESS SWELLING HEADACHES SLEEP DEPRIVATION EXERCISE INDUCED FATIGUE Reasons for the above problems: 1. LEFT SIDED WEAKNESS Numbness in left side of face, loss of function on left side of the body. Had this type of weakness at the time of migraine attack. Possible dignosis could be  HEMIPLEGIC MIGRAINE. 2.SWELLING   It started at the age of 1 and patient still swells up in conditions of:Em...