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 63 year old female, resident of chittiyala and a milkmaid by occupation came to the OPD with the chief complaints of   Pain in the right distal phalanges since 2 months  Dryness of mouth and inability to swallow since 2 months  History of dizziness since 10 days  Drowsiness since 1 week  Generalized weakness since 1 year  Ear pain and ringing sensation in ears on and off since 2 months  HISTORY OF PRESENTING ILLNESS  The patient had a stroke at 5 months of age after which she had deviation of angle of mouth for which she took herbal medication.   3 years back when she had a pain in the left lower limb which was associated with redness and swelling. This was attributed to a insect but . She was ta

  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 60 year old man, resident of yedadri district and a palm tree climber by occupation, presented to the hospital with the chief complaints of  - shortness of breath since 6 months  - Pedal edema since 10 days  HISTORY OF PRESENTING ILLNESS   The patient was apparently asymptomatic 10 years back when he had an episode of dizziness for which he went to a doctor and was diagnosed with hypertension.  The patient was prescribed medication (Cilnidipine) and he is compliant with the medication till date.  The patient has had complaints of shortness of breath since 6 months. It was initially of class 2 NYHA classification (ordinary physical activity results in SOB) and progressed to class 3 NYHA (less than