Ravali Irugurala

GENERAL MEDICINE  18 yr old female with seizures  This is an online E logbook 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 an available global online community of experts 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 the comment box are 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. Following is the view of my case : Date of admission : 12/11/22 18 yr old female came to the opd with  Chief complaints: Of seizures and loss of consciousness At 10:30

 General medicine                                                             12/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Date of admission: 12/11/22 Case presentation: Chief complaints: 40 year old female came to the casuality with complaints of fever since 1 week and pain in abdomen since one week  HOPI: Pt was apparently asymptomatic 1 week back then she developed fever which was continuous, low grade associated with chills and relives on medication.  Pt has abdominal pain since 1 week which is  diffuse type Decreased urine output since 3 days Nausea,vomiting since 2 days 4-5 episodes/day, subsided now Increased frequency of stools 4-5 episodes/day since 2 days which is greenish, small quantity, mucoid, non fouls smelling Facial puffiness, pedal edema-pittin

              General medicine                                        11/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  Date of admission: 9/11/22 Case presentation: A 14 yr old boy came to the opd with complaints of  pain abdomen  in the left side of the abdomen since the past 15-20 days Chief  complaints:   He was having pain abdomen and noticed a swelling in the left side of the abdomen since the past 15-20 days. HOPI: Patient was asymptomatic till 9 years of age. At 9 years of age August, 2016 - parents noticed neck swelling and he had difficulty in swallowing they took him to ENT doctor ,later referred to endocrinologist ,where he was diagnosed with hyperthyroidism. USG showed diffuse enlargement of