VANGA SAI LAXMA REDDY 166

  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 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.      A 23 year old female who works in a store came to gm opd with    Chief complaints : Pain in the left side of the abdomen since 1 year  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic a years ba

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