sathwika ammanabolu

 This is sathwika of 2k18 batch posted in General medicine department as an intern. My general medicine posting is from November 1 to December 31 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 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-centred online learning portfolio and your valuable inputs on the 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 a diagnosis and treatment plan. In icu: -Taken abg sample -Procedures don

 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.   Case history of 67 yr old male K/c/o diabetes since 13years Patient presented to surgery OPD on 1-11-23 with diabetic foot(c/o: blackish discoloration of 2nd and 3rd toe since 20 days) , before coming to kamineni he went to local rmp where first aid was done then he came to  kamineni where he had amputation of 2nd and 3rd toe of Right leg on 1-11-23 1-11-23 to 11-11-23 ( dressings were done) On 11-11-23 he developed shortnes of breath,chest pain  (trop-i was 1080, diagnosed as NSTEMI ,for which patient went to the KHLon 12-11-23 where angiogram was done ( shown-lcx and rca blockade) , they are unable  to

 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.   This is case of 50 yr old female came with c/o: Generalised edema since 15days Decreased urine output since15days HOPI:  H/O consumption of 90ml of alcohol for every 10 days since 4yrs pt was apparently asymptomatic 4months ago then she had hip fracture due to skid  since then she is bed ridden Then she developed edema after 3and half months of hip fracture, insidious in onset gradually progessive, first it developed at abdomen then it progressed to foot,decreased urine output since 15days No h/o burning micturition,no h/o sob, palpitations,no h/o vomitings, PAST HISTORY: Patient is a known cease of Hype