45 /F with Unilateral Lower limb swelling

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent

Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input

This Blog also reflects my patient-centred online learning portfolio.

Your valuable input on the comment box is welcome

I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competence in reading and comprehending clinical data including history, clinical findings, and investigations and coming up with a diagnosis and treatment plan.

CONSENT AND DEIDENTIFICATION : 

The patient and the attendees have been adequately informed about this documentation and the privacy of the patient is being entirely conserved. No identifiers shall be revealed throughout the piece of work whatsoever.

ECG AT PRESENTATION:

CHEST X RAY PA VIEW:

INVESTIGATION CHART:

FEVER CHART:

USG DOPPLER: 

Was done on 20/12/2022 which showed:-

1. No  evidence of Deep vein thrombosis.

2. Distal Anterior Tibial Artery, Posterior Tibial Artery and Dorsalis pedis artery showed Biphasic waveform.

3. All other arteries showed Triphasic pattern.

4. Subcutaneous edema noted around left Ankle.

USG ABDOMEN: was done on 20/12/2022 which showed evidence of :

1. Liver: 13 cms with normal size and echo texture, no IHBRD.

2. Gall bladder was partially distended.

3. Spleen: 11 cms with normal size and echo texture.

4. Right kidney of 9.8× 3.6 cms and Left kidney of 10× 3.8 cms with normal size and echo texture with corticomedullary differentiation maintained and normal PCS.

5. Post hysterectomy status.