S. Amulya

VITALS: Temp:100.9°F Pulse:76 / min Respiration rate:18/min Bp:110/70 mm/Hg Spo2:98% SYSTEMIC EXAMINATION: CVS -Thrills : No Cardiac sounds:S1 S2 heard and no murmurs Respiratory system: Bilateral air entry CNS:No abnormality detected Per abdomen: soft,Non tender  Provisional Diagnosis:  Viral pyrexia Final Diagnosis: Viral pyrexia

This is 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 patients 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 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 diagnosis and treatment plan. Case :  Pt c/o hiccups since 5 days  up rolling of eyeballs and frothing since morning  Chief complaints:  54 year male came to casualty on 27-10-22 with complaints of hiccups since 5 days and up rolling of eyeballs

60 year old male Pt came with the complaints of  abdominal distension since 15 days swelling of both lower limbs, upperlimbs  facial puffiness since 4 days   difficulty in breathing since 2-3 days HOPI: Patient was apparently alright 15 days back when he developed abdominal distension which developed gradually a/w b/l pedal edema, pitting type (R>L) , upper limbs edema and facial puffiness . Since 2-3 days he has SOB which is of grade II/ III  No h/o fever, decreased urine output, heamaturia and frothy urine No h/o chest pain/palpitations/giddiness/ neck pain  H/o CVA (right hemiparesis resolved now) 11 years back when he was also diagnosed with hypertension  H/o hypertension since 11 years on telmibind amh po/od H/o diabetes since 5 years on glimi m2 po/bd H/o right lower limb cellulitis 7 years back H/o ?right lower limb filariasis Personal history: Sleep-normal Appetite-normal Bowel and bladder movements-normal Addictions: Alcohol: occassionally Tobacco smoking: smoker 4 yrs back

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" Cheif Complaints : A 19yr old male patient came to the opd with chief complaints of fever Since 1 week. HOPI:- Patient was Apparently asymptomatic 1 week back then he developed fever with chills which is high grade ,sudden in onset & associated with body pains .Relieved on medication. 2 days back he was taken to outside hospital there his platelet count was 1,29,000 cells/cumm, yesterday they were 1,32,000cells/cumm.Today they were 98,000cells/ cumm. No h/o Loose stools, v