Dr Saicharan Kulkarni MD

50 year old,male patient with history of dysphagia and altered sensorium. M.Rambai,8 th semester Roll number:78 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.  Following is the view of my case(admitted on 28/5/2021. CASE:              50 year old,male patient,farmer by occupation,came with chief complaints of Dysphagia ( both solids and liquids) since 2 days .Altered sensorium since 2 days . irrelevant speech and not oriented to commands since 2 days . decreased urine output since 2 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back, following which he had throat pain, which slowly progressed to difficulty in swallowing to both solids and liquids since 2 days No hoarseness of voice Patient...

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. Dr. Saicharan kulkarni - ICU pg Dr. Rakesh Biswas - prof & HOD General Medicine. A 65 year old daily waged labouror was brought to casuality with :  altered sensorium since 1 day,  weakness of Right upperlimb and lower limb since 3 days, Ocular swelling since 3-4 days Facial puffiness since 3-4 days Fever since 12 days. Patient was apparently asymptomatic 3 years back and went to local hospital in/v/o Regular checkup and came to diagnosed with Hypertension since ...