41 Pravallika Gade

  Pravallika Gade , MBBS 3rd semester Roll no: 41  Under the guidance of Dr. Sai Vittal sir (Intern) This is an online E-log book to discuss our patient's identified health data shared after taking his/ her guardians signed informed consent.   Here we discuss our individual patient problems through a 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-log also reflects my patient centered 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. CASE SCENARIO: A 55 year old male patient presented to the casuality on (when) with chief complaints of weakness of movements of left upper and lower limbs,...

  Name : Pravallika Gade  Roll no : 41  Batch : 2019 ( 3rd sem)     QUESTION 1 Pulmonology : Review: https://166sasirakasinadhuni.blogspot.com/ Case: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html   This is a case of exacerbation of COPD due to possible RHF and bronchiectasis  presenting with shortness of breath , generalised weakness , pedal edema, facial puffiness , drowsiness and decreased urine output. She’s a known case of diabetes and hypertension. An examination of all the systems and required investigations were done and possible right heart failure along with bronchiectasis was diagnosed. Due to already obstructive lung disease which increased the load on the right heart causing RHF. Bronchiectasis was another complication of COPD. Required medication for treating the symptoms was given like diuretics, steroids and antibiotics.Other associated therapies such as chest physiotherapy, thiamine a...