HarikaKathumandirollno54: January 2023

Prefinal Examination PAPER-2

Prefinal Examination PAPER-1

60 year old female with high grade fever ,Weakness since 10 days.

This is 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 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 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.

60 year old female resident of pallipadu presented with chief compliants of:

Fever since 10 days

Generalised Weakness since 10 days

Backache since 10 days

Pedal edema since 2 days

History of presenting Illness:

Patient was apparently asymptomatic 10 days back then she developed fever which was sudden in onset, continuous, with chills and no rigor ,no evening rise of temperature.

Patient complains of backache since 10 days , continuous which is insidious in onset,pain is confined to shoulder mostly ,dull aching type,non radiating,with no aggravating and relieving factors.

Patient complains of Generalised Weakness since 10 days

Patient went to Rmp doctor ,used medicines for 2 days which didn't subside ,so they went to Nalgonda government hospital and was diagnosed with dengue and low platelet count ,medicines were taken for 3 days which gave no relief

Patient went to miryalaguda hospital on 28 December , got admitted and came to KIMS for further management .

Past History:

Patient has no similar complaints in the past

No surgeries underwent into the past

No history of Diabetes mellitus, hypertension, coronary artery diesease,asthma, epilepsy, tuberculosis.

Personal History:

Patient takes mixed diet, appetite is decreased, bladder movement is normal, patient complains of decreased bowel movements.

Addictions: Patient consumes alcohol occasionally (1-2pegs).

Patient smokes chutta since 50 years 1-2 per day.

Patient has no known allergies

Family History:

No significant family History