VINIL REDDY NALLAMDOMPALLY ROLLNO 101

  This is online E-blog, to discuss our patient de-identified 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 the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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 a diagnosis and treatment plan.  A 80yr old male patient came to the opd on friday with chief complaints of 1.fever since 8 days. 2.Dry cough since 5 days HOPI The Patient was Apparently asymptomatic 8 days back then he developed fever which is on & off and not associated with chills and rigor. Then patien

 A 55 yr old male  came to the  Opd with Chief complaints of B/L swelling of legs since 1 week. HOPI: patient was apparently asymptomatic 2 months back.then he developed fever for which he went to local RMP . Then 1month back he had trauma to left leg.for which he went to local doctor and used some antibiotics. Then he started  developing  bilateral pitting type of edema intially below the knees now progressed above the knees for which he went to NIMS hospital in Hyderabad and undergone 6 session of hemodialysis . patient also developed SOB grade 2.then patient went back to home. Then 7days back he again developed swelling of legs . For which he came to Kim's hospital where he has undergone 3 session of hemodialysis.then at the same time he developed hypertension for which he was on arkamin 0.1mg bd . 12 years back he underwent surgery for the swelling on the head . Daily routine: .He wakes up at 7:00am in the morning and take breakfast at 9:00am .after that he will go to his field