Charitha

  This is an online e log book to discuss our patient 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 evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the 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 A 60year old male patient presented to the OPD complaining of loss of consciousness since 4days and one episode of vomiting the next day HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 12 years

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.       A 70 year old, labourer by occupation presented to OPD with chief complaints of  Decreased urinary output since 30 days  Burning micturition since 30 days  Urgency and hesitancy of micturition since 30 days  Mass per abdomen since 25days History of present illness:- Patient was apparently asymptomatic 30days back, then she noticed a decrease in urine output, burning micturition, urgency and hesitancy of micturition, so she visited to local hospital and investigations were done. She denies h/o fever, loin pain, hematuria. History of past illness:-  She was hysterectomised 20 years back for fibroid uter