Poudala hrudaii roll no 126

   This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the 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. C/o. Shotrness of breath 1 week Cough 1week  Bl .pedal edema 1 week. History of presenting illness   No h/0 fever vomiting diarrhoea   cough present associated

 PATIENT WAS APPARENTLY ASYMPTOMATIC YESTERDAY SHE GRADUALLY DEVELOPED ALTERED SENSORIUM SINCE MORNING AND NOT PASSING URINE SINCE MORNING.   NO H/O FEVER, COUGH, COLD, VOMITING. DIARRHOEA, SEIZURES. PAST HISTORY: K/C/O DM, HTN ON MEDICATION. NO H/O TB, ASTHMA, EPILEPSY PERSONAL HISTORY: BOWEL REGULAR BLADDER- NOT PASSING URINE SINCE MORNING SLEEP- ADEQUATE APPETITE- NORMAL NO KNOWN DRUG ALLERGY NO ADDICTIONS. GENERAL PHYSICAL EXAMINATION NO SIGNS OF ICTERUS, CYAMNOSIS, CLUBBING, LYMPHADENOPATHY, EDEMA SIGNS OF PALLOR PRESENT TEMP 98 F PR 78 BPM RR 19 CPM BP 110/ 80 MM HG SPO2 98 % AT RA SYSTEMIC EXAMINATION CVS S1 , S2 + , NO MURMURS RS BAE + , NVBS P/A SOFT , NON TENDER ,NO ORGANOMEGALY CNS: 1. HIGHER MENTAL FUNCTION MEMORY- IMMEDIATE: NO IMPLICE: NO LONG TERM MEMORY: NO 2. GCS: EYE RESPONSE EYE OPENING- SPONTANEOUS- 4 MOTOR RESPONSE: OBEY COMMANDS- 6 VERBAL RESPONSE: ORIENTED- 5 TOTAL SCORE- 15 3. NECK RIGIDITY: BRUDZISKI SIGN- NO KERNIG SIGN- NO 4. CRANIAL NERVES: ALL CRANIAL NERV

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the 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. Chief Complaints - 60 year old female presented with complaints of ulcer over the left since 1 month. History of Present Illness - Patient was apparently alright 1.5 month ago when she developed blisters over l