Eluri vishnu vandana 44

  21 year old female came to gm op with chief complaints of easy fatiguability ,light headedness since 7 years   C/o sob since 7 years ( sometimes )  No c/o Fever, burning micturation,vomitings, loose stools  No c/o involuntary movements or tingling sensation or numbness .  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 20 years back then she developed fever , edema over the fronto parietal region and irritability she was admitted in the hospital treated ( her hospital stay was around 10 days and she was discharged ) At the age of 3 years she had an episode of giddiness and was unconscious, she was again admitted in the hospital and then they were told that she had low levels of hemoglobin and she underwent blood transfusion. At 15 years of age she was taken to the hospital for weakness, giddiness , she was admitted in the hospital and had second episode ofblood transfusion, her hemoglobin level improved to 9 after blood transfusion. Few...

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 comments on 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 Presenting complaints: Patient came to casuality with the cheif complaints of sob since 10 days Complaints of edema of upper limbs and lower limbs since 6 days Decreased urine output since ...