Prasannalakshmi Godasu

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  Case : A 62 yr male with chief complaints -Loss of appetite from 1 month -SOB since 20 days -Cough since 15 days  History of present Illness: -C/o shortness of breath since 20 days grade 4 ,no pnd and no orthopnea -Cough since 15 days non productive,no haemoptysis. Past history: K/C/O HTN from 5 years not on regular medication,DM from 5 yrs not on regular medication General Examination: Patient is conscious, coherent, co-operative Well oriented to time, place and person Moderately built and nourished No pallor, icterus, cyanosis , clubbing, pedal oedema, lymphadenopathy Vitals : PR:88bpm BP:160/90mm Hg RR:2...

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  A 45 yr old male c/o fever since 5 days.Abdominal pain , loose stools and vomitings  CHIEF COMPLAINTS   :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings  HOPI : patient was apparently asymptomatic   5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, whic...

April 09, 2022 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. 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 40 year old male who is a coconut vender came to casualty with c/o : • constipation since 10 days • Yellowish discoloration of sclera and urine from 3 days. • cough(dry cough) since 2 days. • t...

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  A 40 years old male patient came to OPD as a chief complaint of pain over lower back since 1½year gradual onset of pain on right lower limb aggravated on bending,prolonged working,reduced on rest.                  HISTORY OF PRESENT ILLNESS :- A 40 years old male patient who is daily labour and farmer by occupation,has pain over lower back since 1½year has gradual onset of pain on right lower limb aggravated on bending ,prolonged working,reduced on rest(Identified as L3-L4,L4-L5 lumbar canal stenosis) surgery done on Monday,surgery proposed L3-L4 laminectomy,posterior lumbar...