Prashanth 168

CASE BLOG  This is an online E-log to discuss our patient’s de-identified health data shared after taking hi/her/guardian’s 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 also reflects my patient centered online learning portfolio and your valuable inputs on comment box are welcome.  I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competence in reading and comprehending clinical data including history, clinical findings and come up with diagnosis and treatment plan.  The patient and the attenders have been adequately informed about the documentation and privacy of the patient. No identifiers shall be revealed throughout this presentation. 45 yr old male with ckd Chief complaint...

A 42 yr old male patient came to casuality with Chief complaint :-   Abdominal pain in epigastrium since 3days.     History of presenting illness:-   Patient was apparently asympotamatic 5days back then he developed fever which was sudden in onset, intermittent in nature, high grade subsided after taking medication.it is associated with chills and rigor.    He developed epigastric pain 3 days back at Night for which he visited local hospital there Rmp has given injection but pain was not subsided , by morning pain got aggrevated for which patient came here.     Which was Sudden in onset, gradually progressive, non radiating , burning type.  No H/o loose stools, nausea, vomiting.      Past history  :- No similar complaints in the past.  Not a known case of diabetes, hypertension, epilepsy, CHD.          Personal history  :-     Sleep -Adequate     Appetite -Re...