178AkhilchandraElogcases

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. Name : R. AKHIL CHANDRA Batch: 2017 Hall ticket number: 1701006149 Chief complaints: A 22 yr old female, who is a farmer by occupation, studied upto 10th standard, came to the OPD with the chief complaints of- *Generalized swelling of the body since 5 days  *No urine output since 5 days  History of presenting illness: -She was apparently asymptomatic 5 days back then she noticed swelling of the body , initially involving the face and periorbital region ,later legs from ankle to thighs and also upperlimb and abdomen. -Swelling was insidious in onset, gradually progressive and associated with pain .no aggravating and relieving factors. -No urine output since 5 days , initially there is decreased urine output for 2

NAME : R AKHIL CHANDRA HALLTICKET NO : 1701006149 BATCH : 2017 This is an E log book to discuss our patient's de-identified health data shared after taking his 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 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 comments in comment box are most welcomed. Chief Complaints :- A 47 year old female tailor by occupation resident of nalgonda came to the OPD with the chief complaints of: * Fever since 3 months * Facial rash since 10 days HISTORY OF PRESENT ILLNESS:- * Patient was apparently asymptomatic 10 years ago then she developed joint pains first in the both knees and ankles followed by both the hands. There was swelling associated with pain morning stiffness for about 15m