172 M. Haarika

  70 year old male patient who is a resident of West Bengal came to OPD with Chief Complaints :    Pain in the Right Flank since 5months HOPI :  Patient was apparently asymptomatic 5years back and Then he developed Pain during micturition and   He has Urge to pass urine but he was unable to empty the  bladder , Patient had a history of pain in the groin area while urinating ,which is associated with increased  frequency and it is associated with hematuria occasionally. For this He went to hospital and later diagnosed with Bladder calculi  For which he was given medication.  Later he came to our hospital and diagnosed with Horseshoe kidney with Bladder Calculi and Renal Calculi . For which he under went a Surgery To remove Bladder calculi. Renal Stone was apparently small and not operated .  After 5 years patient came to this hospital with Complaints of Right Side flank pain which is of pricking type since 5 months which is progressive and Aggravates on Walking relieves on taking rest.

  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. PRESENTING COMPLAINTS: Shortness of breath since 1week. Fever since 10days. Generalised Edema since 2months . HISTORY OF PRESENTING ILLNESS: Patient (G2P1L1) was apparently asymptomatic 2months back then she developed generalised edema for which she went to local RMP where she was diagnosed as  Gestational Hypertension and started on medication. 1week later she developed seizures 2 episodes - Tongue bite and loss of consciousness present. She went to Yashoda hospital and MRI was d

  A Case of 64yrs old male patient with obstructive jaundice                                         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 64 year old man resident of bengal, is a farmer by occupation came with the complaints of yellowish discol