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  This is a case of a 45 year old female,resident of Nalgonda, technician by occupation came to the op with the chief complaints of  HOPI AND PAST HISTORY  30 YEARS BACK(15 yrs of age)- Got married in 10th class (Non consanguinous marriage) Her partner was a jobless alcoholic  AT 18 YEARS- She gave birth to a healthy baby boy through LSCS  AT 20 YEARS- Gave birth to a healthy baby girl through LSCS 22 YEARS BACK - She was a homemaker then. Due to her husband’s aggressive behaviour, she ingested pesticide which was seen by her sister. She gave her saltwater,induced vomitings and shifted her to Osmania hospital where she was admitted for 2 days  20 YEARS BACK (JAN 2003)-She joined as a technician  in this hospital and also worked as a tailor  17 YEARS BACK(2006)- C/o left ankle swelling and left leg edema which initially resolved overnight  but later didn’t seem to resolve  Later she c/o bilateral lower limb edema about which she neglected due to her work stress She also c/o pain in the
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Intern assessment

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  Intern assessment and extension sample:   Name : Jahnavi Chatla  Posted from 11/8/2022 till 11/10/2022 Unit duty  11/8/2022 to 11/9/2022 Peripheries 11/9/2022 to 26/9/2022 Current online learning portfolio (OLP) linked here  👉  https://jahnavichatla.blogspot.com/ Learning impact assessment from cases recorded  in OLP : CASE 1 https://jahnavichatla.blogspot.com/2022/08/is-case-of-65-year-old-female-housewife.html 65 F  DIAGNOSIS  uncontrolled sugars with type 2 DM  Right lower lobe consolidation LEARNING POINTS  1)First foleys attempt under the guidance of DR. Vinay PGY3 and Dr. Pavani PGY1 2)Understood the importance of 7 point profile glucose monitoring in a DKA patient  3)My first exposure to group work in a hospital setting  I have read this article about diabetes affecting the lung  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3448171/ CASE 2 https://jahnavichatla.blogspot.com/2022/08/2amc-cubicle.html 16 M Diagnosis  Viral pyrexia with thrombocytopenia  Learning points: 1)Prope
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38 year old male with DKA

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  This is a case of 38 yr old male, daily wage worker,diabetic since 1 1/2 year presented to the op with the chief complaints of  1)Sob Grade 4 since yesterday  2) Vomitings since yesterday  The patient is apparently asymptotic 3 days ago  3 days back (Saturday night) He had binge of alcohol 2 quarters  2 days back (Sunday) Insulin shot missed  Afternoon had an episode of vomiting after eating food  Vomiting was non bilious, non foul smelling non blood stained contained food particles  Alcohol binge of 1quarter in the night  1 days back (Monday) Missed insulin shot  Tuesday  Missed insulin shot Afternoon He had  1)stomach pain  2)Vomitings of 4 episodes, watery in consistency non bilious non foul smelling non blood stained  Evening he had  SOB of grade 4 for which he went to the local hospital where he was given medication and sent back home  Midnight  1)SOB grade 4 2)Vomitings of 4 episodes non bilious non foul smelling non projectile non blood stained watery in consistency  Then he w
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19yr old with Viral Pyrexia

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with n aim to solve those patient clinical problem with collect6current best evidence  based input This Elog also reflects my patient centered online learning portfolio. 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 competancy in reading and comprehending clinical data including history, clinical finding, investigations and come up with a  diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :   The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of
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