22 vaishnavi bommakanti

  B.VAISHNAVI 5th SEMESTER ROLL NO. 22 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 35 year old female came to the opd with chief complaints of fever, swelling and pain around the joints since 20 days.  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 12 years back, then she complained of swelling of the uterus, abdominal pain and abnormal uterine bleeding, not subsided even on medication so, hysterectomy was done. Then, 3 years back, she developed fever, bilateral swelling and pain around the joints-(unable to make a fist)( ankle joint, elbow, wrist, small joints in fingers) for 3-4 months in the past 2 years Patient compl

  B.VAISHNAVI 5th SEMESTER ROLL NO. 22 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 47 year old female came to the opd with chief complains of  abdominal distension and abdominal pain since 2 months HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 months back, then she developed abdominal distension associated with pain, bilateral pedal edema associated with pain in both lower limbs. Had decreased urine output and burning micturition. H/o shortness of breath, decreased appetite, weight loss. For which she visited a local hospital, all the symptoms subsided but abdominal distension and pain abdomen remained.  HISTORY OF PA

  B.VAISHNAVI 5th SEMESTER ROLL NO. 22 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 36 year old male cement factory worker by occupation came to the opd with chief complains of abdominal distension and abdominal pain which is in right loin radiating to groin associated with decreased urine output since 5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year back, then he developed abdominal pain and diagnosed to have renal calculi, for which he took treatment and symptoms got subsided.  He developed pain abdomen and abdominal distension 5 days back associated with decreased urine output  No h/o of chest pain, palpita

B.VAISHNAVI 5th SEMESTER ROLL NO. 22 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 85 year old male patient came to the opd with chief complains of  Decreased urine output and dribbling of urine since 1 week and  Abdominal distension   HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic  back, then he had complaints of decreased urine output ( dribbling, hesitancy were present).  Patient had complaints of pedal edema since 6 days.  Patient also had complaints of difficulty in walking since 5 days  No h/o chest pain, palpitations, shortness of breadth.  No h/o focal neurological deficit, headache, vomiting, altered sensorium. 

  A CASE OF CHRONIC KIDNEY FAILURE A 62years old male patient came to the hospital with cheif complaints of nausea,loss of appetite, bilateral pedal edema since 1week. History of present illness. Patient was apparently asymptomatic 4years back then he developed weakness and pain in both lower limbs. Past history Known case of hypertension  Not a known case of diabetes, TB, epilepsy,CAD,asthma Personal history Appetite: lost Diet : non-vegetarian  Bowel habits : irregular  Bladder habits : decreased urine output Regular alcohol consumer  Smoker  Family History No history of HTN,TB,epilepsy,asthma,CAD.   GENERAL EXAMINATION Physical examination . No pallor No icterus No cyanosis No lymphadenopathy No clubbing of fingers Moderately built and moderately nourished. Bilateral pedal odema. Vitals BP:140/70 RR:20/min Pulse rate:80/min Temp: afebrile SPO2:96% SYSTEMIC EXAMINATION CVS S1,S2 Heard No murmurs RESPIRATORY SYSTEM Dyspnea No wheezes Trachea-Central Breath sounds-vesicular ABDOMEN No