Medical elog book

 A 55 year old male came to hospital with complaints of abdominal distension since 1 week Swelling in both the legs since 1 week Patient was admitted on 18,November 2021 He was asymptomatic 3 months 15 days ago then he noticed swelling of right lower limb which was gradually progressive .It started as swelling in the foot then progressed slowly from foot to thigh to involve whole leg.  Pedal edema was pitting type and associated with pain in muscles The swelling progressed further to involve abdomen and he developed abdominal distension after 15 days which progressed gradually .15 days later he developed swelling in left leg which started as ankle swelling and progressed upto thigh and involved scrotum   15 days after development of abdominal distension he came to KIMS for treatment. He was admitted here. Ascitic tap was done.  He was diagnosed with Nephrotic syndrome .He was given medication for that and discharged. 1 month after that he developed abdominal distension again along with

 A 55 year old male came to hospital with complaints of Weakness of all four limbs and unable to walk since 4 days He developed weakness 2 months ago which was insidious in onset and gradual in progression after increased intake of alcohol for a few days according to the patient's attender The weakness exacerbated 4 days ago to the point where he could not walk  He is also not taking any food for the past 3 days He has cough since 2 months associated with sputum. Sputum was pale coloured, no blood tinge, foul smelling, about half a cup in quantity.  Cough increased during night for which he would wake up from the sleep.He also has SOB because of which cough He has a history of on and off fever for 2 months which would subside on taking medication  He has joint pains since the past 10 years for which he is taking medication. He would have episodes of fever when the joint laundry exacerbate  Past history : He was diagnosed with hypertension 5 years ago and using medication for the pa

 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 inputs on the comment box is welcome.” I've 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 a diagnosis and treatment plan.  Case history : 34 year old female came to the casualty with the complaints of Swelling in both the legs since 7 days Abdominal distension since 7 days History of present illness