Vibha Hegde

54 YEAR OLD FEMALE WITH COMPLAINTS OF BREATHLESSNESS SINCE 7 DAYS  This is an online  E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 54 year old female from Nalgonda presented to the hospital at 10pm on 5th May 2021 with the chief complaints of Shortness of Breath (SOB) since 7 days.  HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 7 days ago when she developed Shortness of Breath (SOB) which was sudden in onset, initially gradually progressive, but later rapidly progressive 4 days ago, from Grade 2 to Grade 4 SOB (NYHA classification). It was associated with positional variation, with the SOB getting worse in sleeping position and being relieved on sitting. No other aggravating or relieving factors were noted.  There was also a history of

A 40 Year Old Male with Complaints of Irrelevant Talking This is an online  E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 40 year old male presented to the hospital from Yadagirigutta with the chief complaints of irrelevant talking and decreased food intake since 9 days.  HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 9 days ago, when he started talking, as well as laughing to himself , which was sudden in onset. He was conscious, but oriented to time, person and place only from time to time. He was unable to lift himself off the bed and move around , and had to be assisted. It was associated with a decrease in food intake since 9 days. Following this, he was taken to a local RMP, given IV fluids, and referred to a higher care hospital.

A 26 Year Old Female with Fever and Shortness of Breath This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability.  A 26 year old female from Hyderabad presented to the hospital with the chief complaints of fever since 23 days, and shortness of breath since 18 days.  HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 23 days ago when she developed a fever , sudden in onset, intermittent in nature, increasing at night, with no associated chills and rigors. She was tested for COVID via RTPCR on 23rd April 2021, and tested positive on 25th April. She was advised to take Zinc and multivitamin tablets, along with Fabiflu. She developed grade II shortness of breath (NYHA classification)  18 days ago,  insidious in onset, gradually progressive,