G.Divya Sree

  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 57/M patient came to casualty on 10-11-22 at 10:30pm c/o haemoptysis  and C/o bloody discharge from nose since 4hrs and cough on and off since 2 days associated with blood  C/o Cough associated with blood and Pain a

 Period of internship : 12-10-22 to 11-12-22  12-10-22 to 11-11-22  Unit duty :  Case -1:  https://divyasree1999.blogspot.com/2022/10/30-year-old-female-with-involuntary.html?m=1 Findings:  Observed focal seizures for the first time involving upper limb movements and staring look in the opd  EEG was taken along with MRI  But nothing was found to be the cause  Case -2 :  https://divyasree1999.blogspot.com/2022/10/34-year-old-male-with-apd.html?m=1 Experience:  Learnt how to communicate with the patient even though there was communication was language barrier.  Case -3 : https://divyasree1999.blogspot.com/2022/10/36-year-old-male-with-dka-with-anemia.html?m=1 Findings:  Compartment syndrome fasciotomy was done outside came with anemia and uncontrolled sugars  Learnt about oha induced hypoglycaemia and caution of using oha drugs  Learnt about 7 point profile monitoring of Grbs  Case -4:  https://divyasree1999.blogspot.com/2022/10/16-year-old-female-with-chest-pain-and.html?m=1 Experience:

  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. CHIEF COMPLAINTS  Bilateral Pedal Edema since 1 month Shortness of breath  since  1 day Vomitings since 1 day History of presenting illness Patient was apparently asymptomatic One month back then he developed Bilat

  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.  PATIENT HISTORY: Pt is a 61 yr old female, homemaker. First   pregnancy in 1985 (normal delivery), uneventful. In 1990, pt noticed white discharge during menstruation along with menstrual bleeding (normal, no pain). Dr. diagnosed it to be a uterine tumor and Sx done. Soon after she got pregnant, but her menstrual cycles did not stop, bleeding for 1-day per cycle, with no discharge. After 6 months into the pregnancy, Dr reported fetus had died and was aborted. In 1993, got pregnant for 3rd time. This time also menstrual cycles did not stop. Bleeding for 1 day only per cycle. Normal delivery In 2005, du