VAMSHI KRISHNA MUTHYALA ROLL NO 99

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT.     March17,2023 This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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  A 60 year old female resident of Nalgonda,  housewife came to OPD with chief complaints of bilateral leg swellings since 3 months , facial puffiness since 3 months, decreased urine ou

March18,2023 79 Y/O MALE WITH RECURRENT CVA AND LEFT HEMIPLEGIA WITH ASPIRATION PNEUMONIA AND SEIZURES DISORDER CHEIF COMPLAINTS :- A 79 year old male was brought to the OPD with cheif complaints of cough since 20 days ,C/o altered sensorium since 3 days, difficulty in swallowing since 1 month and fever since 10 days HOPI :- Patient was apparently asymptomatic 20days back then  he developed cough which was insidious in onset and gradually progressive. The cough was productive but patient was not able to spit it out and he also faced Difficulty in swallowing. 20 days back ( on feb 25th) he started to have cough and cold On march 1st took treatment for cold On march 3rd secretions got increased and he was unable to spit that out After 2 days went to a hospital and got admitted for 5 days during which he got those secretions cleared out H/o change of voice since 20 days, insidious, hoarse in character and  Slurring of speech was seen. H/o cough on intake of liquids. No h/o hemoptysis, dif