54 geetha

70 years old female suffering with hard lumps in the left breast  18 march 2022 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 series of inputs from global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've 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 come up with a diagnosis and treatment plan. Chief complaints A 70 years women daily worker by occupation came to the opd with the chief complaint of pain

 11 march 2022 Chief complaint 40 years old male who is a fruit vendor was brought to the OPD generalised weakness and fever since 2 days back excessive sleepiness since 2 days Past history He was apparently asymptomatic till 5 years Since 5 years patient started drinking after he had financial problems He was brought to the hospital in the view of Re-addicted centre previously and was admitted for 40 days and was discharged After started drinking again after few days intermittently He was alcoholic since 6 years and he last drunk 4days ago before he get admitted in the hospital Vitals  Bp-120/70 mm hg PR -125bpm GRDS-154mg/dl SpO2 -97% on RA Temp-100. 8°F Investigations Liver -16. 5cm increased in size Spleen - 13.2 cm increased in size 1) Grade III Fatty liver with mild hepatomegaly with mild caudate lobe hypertrophy Early liver parenchymal disease 2) mild Splenomegaly Provisional diagnosis DECOMPENSATED   LIVER DISEASE ALCOHOL DEPENDENCE SYNDROME Patient was drowsy and Arousable Dec