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June 14, 2022 Hall ticket no : 1701006198 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 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 55 years  old female patient resident of choutuppal who have sedentary life came to the hospital on 10/6/22 with  Chief complaints: -Shortness of breath Since 2 days...

190 Rahul.Y

A CASE OF 40 YEAR OLD WITH FEVER AND SOB AND LEFT LL SWELLING since 3 days A came to casuality with c/o fever since 3 days  SOB grade 2----> 4 since 2 days  LL swelling and redness since 1 day. Patient was apparently asymptomatic 3 days back and then he developed fever which was low grade, intermittent, relieved ontaking medication and not associated with chills and rigor. He has SOB, No orthopnea or PND or pedal edema or chest pain or palpitations. He applied ointment for leg pain over right foot and later he developed redness and swelling over right foot and with these complaints they went to outside hospital and on presentation to the outside hospital vitals spO2-74% on RA with BP 70/40. He was put on CPAP and inotrope support and reffered to our hospital General Examination: Patient is C/C/C No pallor, icterus, cyanosis, clubbing, koilonychia, lymphadenopathy, edema Vitals: Temp - 100 F PR- 104 bpm BP- 100/70mmHg RR- 28 cpm SpO2- 97% at RA CVS: S1 S2 + RS: Decreased BAE...