KANDRU CHERISH ROLL NO 68

 THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 42-year-old male patient who is a carpenter came to the casualty with the CC of Hiccups 4 days back and Pain abdomen and vomitings 3 days  back. HOPI- The Patient was apparently asymptomatic two years back then he had yellow discoloration of the sclera for which he visited a nearby hospital and got treated conservatively.  Then one year back, he again had yellow discoloration of sclera, for which the patient took medication. Eleven days back, the Patient had an injury to the ring finger of right hand. Then there was swelling of the right hand. He had fever 7 days back associated with chills and rigor, not

 A 75 year old male, farmer by occupation and a resident of Miryalaguda presented with chief complaint of lower backache, increased urine output and yellow coloured urine. HOPI- The patient was apparently asymptomatic 5 years back then he had joint pains of both the knees and low back ache with difficulty in walking for 3 to 4 months with right knee joint swelling. Right knee joint was aspirated.  6 days back he had Pain in lower back which is shooting type continuous and radiating to lower limbs(Pain was severe that he couldn't sit, so they went to a local hospital and got treated). Pain was followed by fever which is Intermittent, and temperature increased at night and fever subsides by morning. Fever relieved on medication (Dolo). There is also increased frequency of micturition around 15times in a day(18 times in one night), yellow coloured urine. No H/o Nausea, vomiting, diarrhoea, headache, dizziness. Past History - k/c/o DM and HTN since 5 years. Not a known case of TB, Asth

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 diagnosis with a treatment plan.  This is an online E log book to discuss our patient’s de-identified health data shared after taking his guardian’s signed informed consent. A 23 year old male came with chief complaint of Fever since 5 days. HOPI- The patient was apparently asymptomatic 5 days ago. Then he had fever which was high grade, continuous in nature more in the night associated with chills and rigor and relieved on medication. H/o fatigue along with fever. No H/o headache, Muscle aches, Joint pain, rash, weight loss. No H/o cough, abdominal pain, dysuria, diarrhoea, nausea and vomitings. Past History- Not a known case of Diabetes, Hypertension, Asthma, Epilepsy, Tuberculosis. Personal History-  Appetite-Normal; Diet- Mixed; Sleep- Adeq