SAI GOVIND - 99 GM E-LOG

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. 38 YR OLD FEMALE CAME WITH THE C/O SEIZURES SINCE 4 DAYS . Patient was apparantly asymptomatic 20 days back then she had fever , headache , cough , cold for which she had taken treatment from the local hospital

  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. ICU BED 6 UNIT 6 ADMISSION 75 year old female   c/o  involuntary movements since yesterday night . Urinary incontinance +  ? Uprolling of eye balls , no tongue bite  ? Aphasia ( resolved)   Patient was appran

40 year old male came with the c/o vomitings since 15 days and Shortness of breath since 10 days .He has h/o congenital seizure and  restricted to being at home from childhood with fear of being seizure episode anytime .His brother informs he had episode of seizure soon after his birth later on ocassional episodes once every year or two .As brothers used to stay until age 20 and seperated after marrige . Patient wife informs the later on history . The patient inspite of being on medication did have episodes every 2-3 months .Patient had 3 episodes of seizures in this week his  wife explains the episode as involuntary movement of upper and lower limbs with drooling of saliva, micturition ,each episode lasting for 1-2 min and had post ictal confusion for 15 - 30 min post seizure activity .  Since the last two week patient c/o vomitings 2-3 episodes per day,non projectile contents being food particles .  No H/o headache ,body pains , burning micturition . Patient also had history of fever

 70 Years old male weaver by occupation came to hospital for his maintainence  hemodialysis . Patient was apparantly asymptomatic 1 1/2  month ago then he developed fever which is sudden in onset high grade associated with body pains, headache and burning micturition for which he went to local RMP and took some medications and the fever is relieving on taking medication  ,it is not associated with cold, cough, sorethroat, nausea, vomitings after 10 days patient developed swelling in both legs up to knee which is insidious in onset gradually progressive , pitting type no aggrevating and relieving factors . He also had facial puffiness which  is more in the morning . Patient also had loss of appetite and decreased urine output for which he went to a local hospital there he was given some medication and he used them for around 8 - 10 days but his symptoms were not subsided. Then he came to  our casuality with the complaints of loss of appetite, nausea, burning micturition and reduced urin