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Showing posts from February, 2022

45 year old female with fever and loin pain.

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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 diagnosis with a treatment plan. This is an online E log book to discuss our patient’s de-identified health data shared after taking his guardian’s signed informed consent.  A 45 year old female came with complaints of  Fever since 10 days Pain in B/L loin since 5 days  Unable to pass urine since 1 day  Altered sensorium since 1 day  History of presenting illness:  Patient was apparently asymptomatic 10 days ago then she developed low grade, intermittent fever not associated with chills or rigors, and relieved on taking medication, she was taken to another hospital for the same and reports showed:  Serum creatinine-1.8 CUE: pus cells loaded USG abd: left hydronephrosis  Fever is associated with burning micturition.  Pain in B/L loin which was c