42 year old patient with multiple health events

40YR OLD MALE WITH SOB AND PEDAL EDEMA 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 40 yr old male , driver by occupation presented to the opd with the chief complaints of- • SOB since 4 days (grade 3-4) • pedal oedema since 4 days • cough since 4 days • abdominal distention since 4 days • decreased urine output since 4 days even after taking spironolactone. HOPI: He was apparently asymptomatic 3yr back. The patient is a chronic alcoholic and had similar complaints every time he presented to our hospiatl opd partly due to not takin

45 yr old female patient with complaints of vomiting since 10 days and h/o renal stones A 45 year old female patient came OPD with  Chief complaints: Nausea & Vomiting since 10 days . HOPI: Pt was apparently asymtomatic 10 days ago and then developed nausea and vomiting.  Associated with decreases appetie and disturbed sleep. She had 4-5 episodes per day in the last two days. It occured few hours after consumption of food. Contents :- food particles  DAILY ROUTINE :  The patient wakes around 6 am and does all her household chores,cook food, prepare her kids for school and goes to do her work in field. She has her lunch by 1 pm and then takes an half an hour rest and then gets back to work. She returns home by 6pm , freshen up and then prepare dinner.  She has her dinner with family by 8 pm then watches T.V. till 9:30 pm and then goes to sleep EVENTS LEADING TO FIRST EPISODE OF VOMITING : She woke up as per her daily routine and did all her household work went to work with her husb

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 is welcome. This is a case of an 82 year old man with pain in the neck, lower back, right knee and tingling sensation in his right arm. History of Presenting Illness: Patient was apparently asymptomatic 10 years ago until he developed shortness of breath of grade 2. It has been occurring intermittently over the past 10 years. No history of Orthopnea or pnd Until 5 years ago he says he had a relatively normal life and ran his own barber business for over 60 years. About 6 years ago, he started experiencing trembling and involuntary shaking of his hands and was not able to continue his business so he stopped working and started stayi

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 patients 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. CHIEF COMPLAINTS : A 38 year old male patient farmer by occupation came to general medicine OPD with chief compliants of  a)  decreased   appetite  since  1 year. b)  nausea  and  vomiting  since  6   months. c