52. Amulya

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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've 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 a diagnosis and treatment plan. A 48 year old female patient came to the hospital with the chief complaints of swelling in the neck since 1 year and difficulty in swallowing since 6 months. The patient even complaints of

  This is an online E-blog to discuss our patient identified health data shared after taking the consent. Here we discuss our patient problems through series of inputs available. History of Present Illness: A 46 year old female patient came to hospital for dialysis Patient was apparently asymptomatic 5yrs ago when she underwent surgery for Right eye.This surgery wasn't successfull and the patient was on continuous pain since then. The patient then went for regular checkup 1 and 1/2 year ago was found out serum creatinine to be 6.0 and was on medication since  on jan 18th 2022 , the patient has severe shortness of breath (even at rest) and admitted at a local hospital , following serum creatinine was found to be 14.0 .So a fumoral line was placed for dialysis. she underwent dialysis for 4 times following the vein got clotted and it led to swelling of lower limb(left) and there was discolouration later she underwent 12 sessions of dialysis till now in various hospitals History of Pas