Posts

Showing posts from June, 2022

A 25 year old female with young onset hypertension

Image
A 25 year old female with young onset hypertension    I have been given this case to solve in an attempt to un derstand 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 25 year old female patient who is a housewife and resident of Miryalaguda came to OPD with  Chief complaints: 2021:1st pregnancy:When patient conceived visited obstetrician and on examination found to have Hypertension(150/100 mmHg) Started on Labetalol PO BD At around 8 months:intrauterine death,baby delivered by NVD Stopped antihypertensives 2022:patient conceived again,blood pressure 160/100 mmHg started on labetalol 100mg BD At 8 months: preterm delivery live baby NVD died within one day History of presenting illness : No H/O chest pain palpitations shortness of breath  No H/O of pedal edema  NoH/O decreased urinary output No...

65 year old male patient with CKD

Image
65 year old male patient with CKD  "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  Chief complaints- 65 years old male patient, agriculture labourer by occupation came to general medicine OPD on 09-06-2022,with chief complaints of  fever - since 3 days Urine retention since 2 days Abdominal distension since 2 days                           History of presenting illness- >patient is apparently asymptomatic 3 days back.  Then he developed fever   ...