52. Amulya

This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan. CHIEF COMPLAINT: A 45 year old female came to causality with a chief complaint of cough with sputum since 7days and shortness of breath since 7 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back then she developed cough with sputum which aggrevated from 7 days. Sputum is mucoid, non blood stained , non foul smelling. Seasonal variation-cough is more during nights aggrevated on exposure to dust and cool air . Then she developed breathlessness from 7 days which is of grade-ll, gradual in onset, seasonal variation on exposure to dust and cool air.  Wheeze- present  No orthopnea, n

     This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan.  CHIEF COMPLAINT:  65 years old male patient came to the casualty with chief complaint of shortness of breath since 5 days and distension of abdomen and pedal edema since 1 week HOPI: patient was apparently asymptomatic 1year back March 2022- patient was taken to private hospital with c/o shortness of breath, pedal edema, distension of abdomen and fever and was diagnosed to have renal failure and heart failure, and was started on conservative management. June 2022- patient had similar episodes and had HB of 5 approx and 20 prbc and transfusion was done diagnosed as anemia secondary to CKD  NO H/O of Male