Patient clinical data analysis

   A 25 year old female patient , tailor by occupation, hailing from Thummelagudam, came to the OPD at 7.30 am with chief complaints of vomiting and loose stools since 3 am the previous night. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic few hours back when she developed vomiting- 20 episodes, sudden in onset, non bilious, non projectile, with mainly water as content. It was associated with burning type of pain abdomen involving all the quadrants. Also associated with loose stools- 6 episodes, watery in consistency, not associated with blood or mucus. H/o burning micturition since 3 days. No h/o fever and intake of food from outside, decreased urine output. Past History: History of similar complaints 1 year back. History of Urinary tract infection- 3 episodes in the last 8 years. Not a known case of Diabetes melitus, hypertension, TB, Asthma, Epilepsy. Surgical History: 2 previous LSCS General Examination: Patient is conscious, coherent, co-operative. Moderately buil

 A 35 year old male patient resident of ramachandrapuram works as daily wage labourer who is a chronic smoker and alcoholic since 20 years  He came to opd with history of painless lesions which were papules with erythematous base since 3 months which initially started over face and then extended to upper limb and lower limb and also trunk patient previously got a topical cream soap and some oral drugs from a medical shop and used it for 2 months and few lesions regressed but some persisted on earlobe,hands and trunk 12 days back he developed blackish skin discolouration over hands and feet and there was cracking of skin and ulceration associated with burning sensation since 1 week patient developed high grade fever associated with chills and rigor which was of  continuous type no known co-morbidities present and no history of similar complaints in the past on examination: face: madarosis-loss of eyebrows depression of nasal bridge also called as saddle nose skin of face and earlobe is

​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 75 year old male  came to casualty with chief complaints    Fever since 2 days , ALTERED SENSORIUM SINCE today History of SHORTNESS OF BREATH SINCE 2 DAYS. HISTORY OF DRY COUGH on and off SINCE 8 mo