Sangeetha gattikoppula

​ This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 come up with a diagnosis and treatment plan. Chief complaint: A 53 year old male came to OPD complaints of involuntary shaking of hands since 2 months History of present illness: Patient was apparently asymptomatic 15 months back then gradually developed tremors of left hand which gradually increased in intensity from the past two months tremors decreased on doing physical activity and increased on rest and of intermittent type (on and off) No history of trauma No history of postural instability No history of rigidity and bradykinesia No history of reduced eye blinking, drooling,and soft voice No history of dysphagia No history of sleep disturbances N

​ This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 come up with a diagnosis and treatment plan. A 46 year old male who is resident of Bhongir and by occupation a Barber came to OPD on 11th of January at 4:10 pm. CHIEF COMPLAINTS: Fever on and off episodes:12 days Loss of appetite:12 days Pedal edema:7 days Shortness of breath :7 days HISTORY OF PRESENT ILLNESS: -Patient was apparently asymptomatic 12 days back then he complained of fever which is low grade, intermittent, on and off episodes get relieved on medication.  -Patient complained of B/L pedal edema present below the knees, pitting type, present since 7days which get aggravated on standing for long periods and slightly reduced on taking rest.