Supriya Kammari 2k17

 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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box . HALL TICKET NUMBER- 1701006073 A 40/F Came with chief complaints of , Abdominal Distension since 1 year  Facial puffiness since 1 year  Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs.  Sob since 9 days pedal edema since 9 days ,pitting type Dizziness and headache since 9 days  H/O PRESENT ILLNESS: Patient was apparently asymptomatic 3 years ago ,then she developed bilateral knee pain which was insidious onset and gradually progres

 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. HALL TICKET : 1701006073 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. CASE DISCUSSION: A  50  years old gentleman,  farmer  by occupation, resident of Yadadri Bhuvanagiri district came to the hospital with the following cheif complaints CHIEF COMPLAINTS: