VANGA SAI LAXMA REDDY 166

53yrs old female patient presented with CHIEF COMPLIANTS of B/L Loin pain since 6days and decreased urine output since 4 days and SOB (Grade 2-3) since 3days HOPI Patient was apparently asymptomatic 6days back then she had B/L Loin pain since 6days(it started in lower back midline and radiated to groin region) and decresed urine output since 4 days and then she had SOB(Grade 2-3) since 3 days. Daily routine: She wakes up at 7am and does her daily chores and makes breakfast and have their breakfast at around 9am and takes rest for some time and then she used to do work like washing utensils and cleaning the work but when she was diagnosed with hypertension she stoped her work she just cooks and take rest for 2-3 hrs in the afternoon. PAST HISTORY she had similar complaints of loin pain 2months back for which she had given anti biotics and told to drink more water by local practioner in miryalaguda k/c/o Type 2 DM from 12 years and on OHA recently shifted to insulin injections and HTN fr

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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted .  Consent was given by patientand their attenders  A 24 year old male daily wage workers who usually does work at coal mostly came to opd with Chief complaints: decreased urine output ,  vomiting since 9 days .Difficulty in swallowing and oral ulcers  and fever since 8 days History of presenting illness : Patient was apparently asymptomatic 9 days back then he developed seve