Vibha Hegde

 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 22 year old female, R/O Nakrekal, currently a student, came with the chief complaints of 1. Rashes all over her body since 5 days 2. Facial puffiness since 3 days HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 1 month back when she developed rashes over her legs and arms and abdomen after contact with something in her family's lemon field. For this, they visited a local doctor the next day, who prescribed her steroid ointment (halobetasol propionate) and oral medication, which she took for 10 days. The rashes subsided, however, blackish discoloration remained over the skin.  10 days back she developed fever which was high grade, intermittent in nature, associated chills a

 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 70 year old male, resident of Nalgonda, coal miner by occupation cane with the chief complaints of: 1. Fever since 15 days 2. Shortness of breath since 10 days 3. Cough since 10 days HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 15 days back when he developed a fever, sudden in onset, intermittent with a rise in temperature at night, associated with chills and rigors. No aggravating factors were noted, relieved on taking Tab. Paracetamol. He noted a history of Shortness of Breath since 10 days, insidious in onset, Grade III (NYHA classification) with was aggravated on working and relieved on rest. There was no associated diurnal or positional variation, or paroxysmal noctur