Medicine blended assignment

  CASE DETAILS A 26 old female, (home maker) resident of  rural nalgonda has come to the hospital with  complaints of:- Lower back ache since 10 days Fever since 5 days  Pain abdomen since one day  HISTORY OF PRESENTING ILLNESS The Patient was apparently asymptomatic 10 days ago. Then she developed Lower back ache which was insidious in onset, continuous in nature, no aggravating factors, relieved on rest. The patient also complained of fever since 5 days which was insidious in onset, remitting type ,associated with chills and rigors,  relieved on medication.  Now the patient also complains of Pain abdomen since 1 day which was in lower right quadrant of abdomen The patient also complained of painless Passage of reddish coloured urine since a day No history of burning micturition, frequency, urgency, shortness of breath pedal edema PAST HISTORY   The patient gives a history of mitral valve replacement when she was 7 years old after which she is using Medication - ( ACITROM  ) The patie

  This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available 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 centered online learning portfolio and your valuable comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   HALL TICKET NUMBER: 1701006057 Name :- G vishal 40 years old Male patient  painter by occupation resident of bhongiri presented to OPD with chief complaints of            Shortness of breath s