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 28 year old male, R/O Bommakallu, came with the chief complaints of seizures since 1 day. The patient was apparently asymptomatic in April when he realised that he had lost about 10 kgs in a span of a week. Due to this, he consulted a doctor. On investigations, the doctor informed him that his kidneys were failing and that he would need dialysis. The next day, the patient went to a second doctor for a second opinion, who confirmed the same diagnosis and suggested dialysis. He was also diagnosed with hypertension, for which he has been on antihypertensive medication regularly. The following day, the patient came to our hospital to start dialysis. However, on doing an RTPCR, he was found to be COVID

 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. 80 YEAR OLD WITH C/O COUGH, FEVER SINCE 15 DAYS; DECREASED URINE OUTPUT SINCE 3DAYS An 80 year old patient a resident of kurumarthi presented with the chief complaints of  * Cough since 15 days  * Fever since 15 days * Shortness of breath since 15 days  * Decreased urine output since 3 days  The patient was apparently asymptomatic 10 years back when he developed throbbing pain in his right metatarso-phalangeal joint, which was associated with swelling and fever. 2 weeks later, he also developed swelling and pain in bilateral knee joints. With these symptoms the patient went to a nearby hospital. On evaluation, he was informed to have increased uric acid (as informed by the attender) and was diagnose