TEJASRI DEVARUPPALA ROLL NO:36

28 yr old male with blood in stools and shortness of breath  20 August 2022 This is an a 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. Case - A 28 year old male came to the OPD with the chief complaint of blood in stools since 1.5 years and sob on exertion since 1 ye

 A 23 year old female resident of Miryalguda home maker by occupation came with chief complaints of fever since 11 days History of presenting illness: Patient was apparently asymptomatic 7 days back. Then she developed fever since 7 days which was high grade intermittent and associated with chills and rigor She went to a local hospital and took medication and the fever subsided. Then after 3 days she again had fever for which she came our hospital and widal test was done and it was negative . She also done the test at local hospital and it was positive for dengue and they visited a hospital in Nalgonda and was told her platelet count was low and then they went to Osmania hospital because of some personal problem they came our hospital on 14/08/2022 PAST HISTORY No similar complaints in the past Not a known case of Diabetes Hypertension Asthma TB Epilepsy History of hypothyroidism during third pregnancy and Thyroid levels are normal after delivery History of Tubectomy and LSCS 3 months

A 16yr old  girl r/o gourala came to OPD with  Chief complaints of loose stools since 3 days and fever since 3days. HOPI Patient was apparently asymptomatic 3days back and she had consumed outside food  and had loose stools since 3 days which is watery,green in colour and foul smelling. H/o 2episodes of high grade fever, associated with chills which relieved on medication . H/o vomitings and abdominal pain. Past History No h/o DM/HTN/CAD. Personal history Diet:mixed  Appetite: decreased Sleep: adequate  Bowel (loose stools)and bladder(regular) Addictions: none FAMILY HISTORY:No significant family history GENERAL EXAMINATION Patient was conscious coherent and cooperative  Moderately built and nourished   No pallor,icterus,clubbing,generalised lymphadenopathy. Vitals: Temp- PR- HR- BP- Systemic examination Abdomen:soft and tender in right iliac fossa. RS:Bilateral air entry present. CNS:No focal neurological deficit. CVS: S1,S2 heard. Investigations-

July 31,2022  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. A 49yr old male contacter by occupation r/o nalgonda came to OPD with chief complaint of swelling in the right leg since 20days and fever since 1 week. History of presenting illness  Patient was a