137 SADU SHASHI KIRAN

  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. CASE 78 year old male with farmer by occupation, resident of Annaram came with  CHEIF COMPLAINTS: Difficulty in breathing,pedal edema and generalised weakness since 20 days HISTORY OF PRESENT ILLNESS : Pt was

 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. CASE This is a case of a 50 year old male,  resident of Miryalguda, factory worker by occupation, presented with  CHEIF COMPLAINTS-  Weakness of right upper and lower limbs with slurring of speech and deviatio