Mohammed Wahaaj

 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.  Unit 6 admission  Ward case  A 32 year old male presented to the opd with C/O Yellowish discoluration of  eyes and passage of dark yellow coloured urine  since 1 month. HOPI Patient was apparently asymptomati

A 45 year old female daily wage labourer by occupation came to the opd with chief complaint of shortness of breath since 2 days. Patient was apparantly asymptomatic 2 days ago then she developed shortness of breath which is insidious in onset gradually progressive from grade 1 to grade 3.It is aggrevating on supine position and reliwved on sitting position . Sob is not associated with chest pain , chest tightness, palpitations ,fever ,  cold , cough , nausea, vomitings , loose stools , PND , sore throat , decreased urine output.   H/o exposure to smoke from fossil fules since 30 years and patient husband is a known smoker who smoker 4-5 beedis per day. PAST HISTORY  - No similar complaints in the past . - Not a k/c/o DM, HTN, TB, ASTHMA, EPILEPSY,CAD, CVA. - Tubectomy was done 20 years ago. MENSTRUAL HISTORY  PAST MENSTRUAL HISTORY - Age of menarche - 11 years . - Regular cycles 5-6 days / 30 days. - No pain , No clots  - Uses 2-3  pads per day. PRESENT MENSTRUAL HISTORY  - LMP - 4/1/2