GAUTHAM KANTH ROLL NO 103

CHIEF COMPLAINTS:- - c/o Deviation of mouth to the left side since 3           years - c/o watering from the right eye since 3months - c/o Headache since 3 months Patient was apparently asymptomatic 3 years back, then developed ear discharge, insidious in onset, gradually progressive, scanty discharge, for which she didn't visited any hospital. Later on she developed deviation of the mouth to the left side, sudden in onset, non-progressive, aggrevated with talking or during eating, no relieving factors. For which she went to khammam private hospital and o/e it was grade 4 right LMN facial palsy and CT temporal bone done showing Left otomastoiditis,  B/l reduced mastoid pneumatisation, Focal lesions in tympanic segment of left facial canal and adviced to higher centers stating chances of paralysis  And had her ear examination done I/v/o discharge from the ear and diagnosed as left CSOM for which left  mastoidectomy and tympanoplasty done on 08/09/23.   -C/o inability to close right

A 53 year old male came to casualty with chief  C/o pedal edema since 2 months C/O SOB Since 1 day C/O  decreased urine output since 2 months. History of presenting illness:- Patient was apparently alright 1 year back then  he developed  decreased urine output for which he went to hospital and  was diagnosed as chronic kidney disease and was on Conservative management.  Patient  developed decreased urine output since 2 months. No  Hesitancy, dribbling of urine. -History of pedal edema Since 2 months, pitting type upto knee. -History of SOB since 1 day; Grade -IV according to MMRC  , Orthopnea present, no   PND. No chest pain, no palpitations.  3. HISTORY OF PAST ILLNESS K/c/o Dm-ll Since 7 years on insulin K/c/o HTN Snce 1 year on CILNIDIPINE 10mg. No history of asthma ,tuberculosis ,epilepsy  Personal history:  Diet mixed  Appetite normal  Sleep Adequate Bowel are regular Bladder movements decreased output since 2 months. Addictions:  Alcohol - regular but stopped since 2 years Smokin

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 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 32 yr old male came with the complaints of fever since 1 week  HOPI  Patient was apparently asymptomatic 1 week back and then developed fever which was sudden in onset gradually progressive high grade associated with