D.Kavya Manjoosha

  This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient 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 also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case: A 75 year old male resident of  dorumpally came to casuality with c/o bilateral pedal edema, decreased urine output, sob since 7 days HOPI: Patient was apparently asymptomatic 1 week back then he took covid 19 vaccine and he was fine on that day. Next day he  got fever sudden in onset, continuous, non progressive and  relieved on medication Pt developed  bilateral pedal edema a week back and he went to a private hospital in nalgonda and they performed some tests and confirmed b/l renal failure  Pt

  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 inputs on the comment box. 39yrs old male came with the cheif complaints of pain abdomen since 4 days and complaints of increased frequency of urination with burning micturition since 4 days,fever since 4 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 yrs back then he went to a hospital with complaints of increased frequency of urination and diagnosed to be as Type 2 diabetes mellitus and startedhis medication taking  oral antidiabetic drugs,he was on regular follow up.Since 1 month

  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 55 year old female , daily labourer by occupation resident of Suryapet came for insulin dose fixation for eye surgery.She is a known case of Diabetes. HISTORY OF PRESENTING ILLNESS Patient was apparently as

 1. Anatomical and etiologic localization for hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue fever clinical features and complications 4. Cushing syndrome 5. Mandibular advancement device 6. Cardiogenic pulmonary edema 7. Rhematoid Arthritis 9. Heart failure 10. Ascites 11. Pyrexia of unknown origin 12. Drug induced liver injury   13. Evaluation of low back ache 14. Renal artery stenosis    15. Acute kidney injury 16. Oral hypoglycemic agent 17. Micro vascular and macro vascular complications of diabetes                         19. Metabolic acidosis 20. Iron deficiency anemia