Medicine log book by Shivani Mukkawar

  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.  CHIEF COMPLAINTS:-  A 19 years old male,student by the occupation presented to the opd with the chief complaints of vomitings 2-3 episodes since 3 days, abdominal pain since 3days and loose stools 4-5 episod

 1q) Define heart failure. Etiology and clinical features of heart failure? How do you daignose heart failure clinically ,physical examination and various modalities used in daignosis of heart failure. Write a brief note on treatment of heart failure.  2q) Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note on clinical features,daignosis and treatment of cirrhosis of liver. 3q) Elaborate on clinical features and daignostic modalities in daignosis of renal calculi. Ans)  4q) Etiology of pleural effusion and daignostic  criteria for pleural effusion.  5q) Daignosis and treatment of Dengue fever. Ans)  6q) Clinical features and daignosis of peptic ulcer disease?  Ans)  7q) Treatment of acute pyelonephritis? Ans)  8q) Treatment of abdominal tuberculosis 9q) Etiology and treatment of pneumonia? Ans)  10q) Complications of dialysis. Ans)  11q) Ascitic fluid analysis  Ans)  12q) proton pump inhibitors Ans)  13q) Afterload reducing agents in heart failure. Ans)  14q) T

  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.  CHIEF COMPLAINTS:- A 60 yrs old male,  goat farming by the occupation presented to the opd with the cheif complaints of Distended abdomen since 20-30 days, pain in the abdomen since 1 week, decreased urine output since 2days and constipation since 2 days. HISTORY OF PRESENT ILLNESS:-  Patient was apparently asymptomatic 1 month back  then he developed abdominal distension since 20-30 days  which is progressive in nature and is associated with pain since 1 week with decreased urine output and constipation since 2days.  Patients daily routine is, he wakes up at early in the morning 5:30. He will hav