MIRYALA KALPANA

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 history: A 70 year old male,who used to work as Mason but stopped working since 3-4 years  Patient gives h/o multiple joint pains since 3-4 yrs,  started in small joints of hands and feet and later progres

M Kalpana 9th sem This is 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 patients 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 comment box is welcome. 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 diagnosis and treatment Case: 22 years old male came to hospital on 16/10/21 with complaints of -fever with chills since 1 day -dry cough since 1day -cold since 1day -SOB since afternoon history of presenting illness: patient wa

https://medicinedepartment.blogspot.com/2021/10/mbbs-2017-batch-oct-2021-internal.html?m=1 Question-1 Define bone density? How is it measured? What are the causes, clinical features ,diagnosis and management of osteoporosis? Ans:           Bone density is the amount of bone mineral in bone tissue( mass of mineral per volume of bone) Measured by DEXA( dual energy  x ray absorptiometry) Question-2 What is myxedema coma? Describe its clinical features,diagnosis,treatment for myxdema coma? Ans:            Treatment : Supportive care- Gentle warming with blankets,Broad spectrum antibiotics,high flow oxygen,and if required assisted ventilation Correction of hyponatremia and hypoglycemia Hydrocortisone (100mg ivsly,8hrly)is required due to increased metabolic stress Thyroid hormone replacement- T4- initially 100-150Micro gm and then 75-100 MCG iv is recommended T4- - orally ina dose of 300mcg start followed by 100-300mcg daily Treat precipitating causes Question-3 What is the diagnostic appro