ARUSHI KUMARI

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  Name : Arushi kumari Roll no. 15  Chief complaints :  - complaint of neck pain radiating to both shoulder and hand since 2 months  - complaint of low back pain radiating to left leg since 2 months  HOPI: Patient was apparently as

Chief complaints: A 78 year old male came with chief complaints of: - no passage of urine from morning  - swelling in the left hand and right leg  HOPI: Patient was apparently asymptomatic 1 month back when he started noticing swelling in the left ankle and gradually progressed covering the whole leg in 6 days.  He was taken to Suryapet Hospital where they referred to Gandhi Hospital but the patient's attender did not wanted to stay there so they took him to a private hospital.  Surgical dressing was done in view of Necrotizing fascites and patient was asked to review after 10 days. Dressing was done again and surgery was suggested.  - From today morning the patient is complaining of no urine output and swelling in the right leg and left hand. He went to some hospital where they kept Foley's catheter but it was not properly kept .  So patient came to our hospital with complain of Anuria since morning and swelling in the right leg ams left hand.  PAST HISTORY 3 years back he had

    During Unit duty  Case 1 https://151arushikimari.blogspot.com/2022/09/chief-complaints-complain-of-vomiting.html My Orientation around this case : 1. What might be the reason of his breathlessness?  Ans. May be due to binge of alcohol intake 2. What are his precipitating factor for breathlessness?  Ans. - H/o asthma since 3yrs          - allergy to dust          - binge alcohol intake  3. What are his systemic examination finding?  Ans. In Respiratory system examination, B/L rhochi present in Infra-axillary area.  4. Why Inj. Thiamine is usually given to chronic alcoholic?  Ans. To prevent Thiamine induced Wernick's Encephalopathy.  Case 2 https://151arushikimari.blogspot.com/2022/08/57-year-old-male-with-pain-in-right.html My orientation around this case  : 1. What is the mechanism of development of AKI in patient with NSAID abuse?  Ans. Reduced renal blood flow due to decreased Prostagandin synthesis which regulate vasodilatation at the glomerular level.  Case 3 https://151ar