Case study general medicine

1601006189 This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.”  A 52 year old male  who is a farmer by occupation presented to the opd with chief complaint of  Bilateral swelling in lower limbs since 3 days H/O Present illness- The patient was apparently asymptomatic 1 week back then he developed  bilateral swelling over legs since 1 week  which started near the foot and gradually progressed to the knee. It was pitting type which resolved in between and again started 3 days back. He had similar complaints in the past for which he went to a local hospital and was advised on taking salt and water restricted diet. Patient on telmesartan for hypertension since 2 years. He is a chronic alcoholic and smoker. Examination : Bilateral pedal edema pitting type up to knee on general examination. Respiratory system : Bilateral air entry present and normal vesicular breath sounds heard. CVS...

1601006189 This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.” FINAL EXAM LONG CASE A 50 year old female patient a resident of Nalgonda, home maker came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness: She was apparently asymptomatic 10 years ago, then she developed a dull aching type of pain and stiffness in her finger joints(MCP joints) of right hand with limitations of movements at the joints.  Then within 6 months of onset the disease progressed to involve other joints of the right hand and left hand as well(wrist joint and elbow joint)  Within 4 years of onset she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive dull aching type of pain, non radiating, associated with swelling, st...

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.  You can find the entire real patient clinical problem in this  link here https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 GENETICS:  On evaluating her genetics it was found that she had an Increased risk for Alzheimers, ADHD, Autoimmune thyroid & other autoimmune disorders, lung cancer, cluster headache, Obesity, raised ICP, Diabetes, RA, Bipolar disorders, Lung cancer and issues. ALLERGIC HISTORY: She is allergic to favabeans and sulfa drugs. following are some of the problems which i noticed and tried to list them in the order of priority: 1)frequent migraine attacks which are very severe and often associated with   2,breathing difficulti...