General Medicine E - log by Kehkashan Tabassum [Roll no: 38]

Welcome and greetings to every one who are visiting my blog. This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed, informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. CHIEF COMPLAINT: A 48 year old female, resident of Hyderabad and home -maker by occupation, came to casualty on 14/3/22 with complaints of : -shortness of breath 2 week back - initially grade -2 later progressed to grade 4 . -pedal edema and chest tightness -generalized weakness and fatigue and frequent falls -difficulty opening mouth and oral ulcers 2week back. -difficulty in swallowing both solids and liquids since 10 days . -H/O skin peeling all over body 35 DAYS ago . HOPI: Patient's timeline  PICTURES FROM 25-01-2022       

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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient centered online learning portfolio and your valuable comments on comment box is welcome. Chief complaint: A 20 year old female patient, student by occupation has come to the OPD on 22nd March with cheif complaint of: 1. Abdominal pain since morning 7:00 am (22nd March) 2. Vomiting since morning 7:00 am (22nd March) HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 5 days back, then she developed abdominal pain in the epigastric region which was sudden in onset, gradually progressive, burning type of pain since morning with no aggravating and reli