THEJASWI JELLA ROLL NO 59

  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 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-centred 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. CASE. CHEIF COMPLAINTS 50 Years old male ,resident of miryalaguda,works in ice factory, came with chief complaints of right sided weakness (upper limb and lower limb) , deviation of mouth to l

 This is an online E log to discuss our patients 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 evidence based inputs. This E log book also reflects my patients-centered  online learning portfolio and your valuable inputs on the comment box is welcome. 65 yr old male from Nalgonda farmer by occupation came to the hospital for maintenance dialysis  HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 20 years back then he noticed yellowish discolouration over sclera and urine and decreased urine output then he went to a hospital.Investigations are done and  diagnosed as Jaundice. At the same time he also diagnosed as right kidney damage. so that 3 episodes of dialysis was done in a week. For the next 10 years he was normal.  After