INTERNSHIP ASSESSMENT ROLLNO.- 25-48

80Yr male with altered sensorium

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHEIF COMPLAINTS: Fever since 10 days Burning micturition since 1 day Left loin pain since 1 day Decreased urine output since 1day Blood in urine since 3 hrs HISTORY OF PRESENTING ILLNESS A 80Yr male, agriculture by occupation,c

72 Female with Fever, Burning micturition, Abdominal pain

Chief complaints: Fever since 1month (sep15th) Burning micturition for 10days (sep15th -25th) Abdominal pain since 1month Decreased appetite since 20 days HISTORY OF PRESENTING ILLNESS: A 72 year post menopausal female , came to casualty with complaints of fever since sep15th ( 36th day of illness). Fever was high grade with evening rise in temperature associated with chills and rigors, not associated with nausea and vomiting/headache/cold/cough . She was treated with oral medicines on day 2 of illness,But fever dint subside . Not associated with loose stools /blood in stools On 2nd October (17th day of illness ) she was given IV antibiotics for 2 days , and was on antipyretics From 9th October she had feverspike , she consulted a doctor, she was started on inj. Magnexforte and Tab. Farepeneum 200mg for a week. “presented to outside hospital with fever , right hypochondriac pain and nausea , she was clinically as SEPSIS WITH MODS, surgical opinion was taken and adviced for lap c

67yr male with fever and generalized weakness

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHIEF COMPLAINTS Fever since 10days Dry cough since 10days Generalized weakness and bodypains since 10days Decreased appetite since 5 days Red colored urine since 5 days Vomiting on Day 4 of illness Pain abdomen since 2 days H

G.NehaReddy

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