Varsha Bandaru Roll no 07

 Case History and Clinical Findings PATIENT IS A KNOWN CASE OF GUILLATINE AMPUTATION CAME FOR CLOSURE OF FLAP PATIENT WAS ADMITTED TO THE IN GENERAL SURGERY KIMS FOR DIABEYES ULCER OVER THE LEFT 2ND TOE AND GOT THE 2ND TOE AMPUTATED ON DEC 2022 AND ADEQUATE BLOOD SUGARS CONTROLE HAS BEED DONE AND PATIENT WAS DISCHRES PATIENT HAS LOST FOLLOW UP AND FURTHER GOT ADMITTED IN GENERAL SURGERY KIMS SILENCER BURN OVER THE DORSUM OF THE FOOT ON NOVEMBER 2023 DEBRIDMENT DONE AND REFFERED TO THE NEPHROLOGY AND HE ADVISED TO DIALYSIS AND PATIENT AND PATIENT ATTENDERS WERE NOT WILLING HAD LEFT AGAINST MEDICAL ADVICE HE WENT TO YASHODHA AND UNDERWENT AMPUTATION AND PATIENT FURTHER CAME TO KIMS FOR FOR THER MANAGMENT AND CAME FOR STUMP CLOSURE ON 4 /1/24 TO GENERAL SURGERY NO COUGH AND VOMITING , NAUSEA NO H/O FEVER,COLD AND ALLERGIES. PAST HISTORY: K/C/O DM-II SINCE 3 YEAR ON REGULAR MEDICATION (GLYCOMET-M1 PLUS METFORMIN PO/OD) K/C/O HTN SINCE 10 YR ON TELMA 40 MG NOT A K/C/O HTN,ASTHMA,TB,EPIL...

 Case History and Clinical Findings C/OINVOLUNTARY MOVEMENTS ALL OVER THE BODY SINCE 4DAYS HOPI:PT WAS APPARENTLY ASYMPTOMATIC ALRIGHT 7 DAYS BACK THEN DEVELOPED SOB AND HEAVENESS OF CHEST FOR WHICH HE WAS ADMITTED AND GOT TREATED THEN AFTER HE WAS DEVELOPING INVOLUNTARY MOVEMENTS OF ALL OVER THE BODY PROGRESSING IN INTENSITY NO H/O TRAUMA TO HEAD NO H/O INVOLUNTARY FALLS NO H/O SPIPPAGE OF SLIPPERS NO H/O DIFFICULTY IN COMBING,NO H/O DIFFICULTY IN CHEWING NO H/O SQUINT,ANOSMIA,PAROAMIA,HICCUPS,DYSPHAGIA,ABDOMINAL PAIN,VOMITINGS,DIARRHOA K/C/O AD PCKD ,TB 30 YEARS BACK DM SINCE4YEARS ON GLIDAZIDE 80MG HTN SINCE 2 YEARS GENERAL EXAMINATION: PT IS C/C/C BP-140/80 PR-86BPM SPO-99 SYSTEMIC EXAMINATION CVS-S1S2+ RS-NVBS CNS-NFND P/A-SOFT NON TENDER PROVISIONAL DIAGNOSIS POLYCYSTIC KIDNEY DISEASE STAGE V CHRONIC KIDNEY DISEASE ANEMIA SECONDARY TO CKD K/C/O PULMONARY KOCHS 30 YEARS AGO DM+,HTN+ Investigation RFT 03-01-2024 03:57:PMUREA252 mg/dl42-12 mg/dlCREATININE11.0 mg/dl1.3-0.9 mg/dlU...

 A 60 years old male patient came to casuality with loss of consciousness at 2 Am  HOPI :  Patient was apparently alright and asymptomatic 12 days and then he experienced slip and fall on 15/4/24 and was taken to government hospital there he was diagnosed as intertrochanteric hip fracture and then shifted to ot there they have undergone surgery . On 17/4/24 patient developed altered sensorium and is so irritable and for further four days he is under observation of doctors and the concerned doctors did not inform the accurate cause to the patient attenders and then he was discharged  After discharge patient was at home with same irritable condition and altered sensorium for four days and again on 24/4/24 he suddenly developed SOB and then the patient attenders  admitted him to hospital there he had undergone CT brain suggested age related changes and for SOB they followed conservative treatment and altered sensorium is present And on Saturday at 2 Am patient loss...

 A 65 years old female came to opd with c/o breathlessness since one week, insidious onset gradually progressive, grade 2-3 nyha, aggrevated on exertion, relieved with rest HOPI:  Patient was apparently asymptomatic 10 days back then developed shortness of breath. H/o generalized weakness and easy fatiguability  No h/o chest pain, palpitations, syncope, orthopnea, pnd No h/o cough, cold, fever, abdominal distension, facial puffiness, pedal edema, decreased urine output Past history:  h/o similar complaints in 2010, got 3prbc transfusions for Anemia, normal bone marrow biopsy, negative direct indirect coombs, in 2011 treated with steroids K/C/O: 2mnths back got dental procedure done, associated with blood loss, and started on steroids N/K/C/O : DM/ HTN /CAD / CVA / ASTHMA / THYROID /SEIZURE DISORDERS Personal history :  _ occupation : homemaker Patient is married  Patient takes mixed diet appetite is lost  Bowel and bladder movements are regular Micturi...

 Varsha Bandaru Roll no 07 This is 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 patients 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 comment box is welcome. I’ve 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 : 65 year old female farmer by occupation from sreerampelli came to hospital on 7/6/23 with chief complaints of fever 20 days back and pedal edema with facial puffiness since 20 day...

  My experiences with general cellular and neural cellular pathology in a case based blended learning ecosystems CBBLE” Im Varsha Bandaru undergraduate final year student of kamineni institute of medical sciences Narketpalli India . Here in this blog I would like to share all my views regarding the cases I took In my medschool guided by my fellow college mates ; seniors lecturers and batchmates . Back in 2019 when I was in the third semester I think that’s the first time I held my stetechoscope and I really felt like a doctor and I thought it was very simple and easy and I was very very excited as day passes I realized that it’s just not the excitement or happiness it’s like more of a responsibility I have learned that after seeing many patient and their problems . I have learnt many things like how to deal with patients ,how to acknowledge them, how to make them feel safe ,how to take a detailed history of patient and based on that getting the differential diagnosis .. we came a l...