shirisha khammampati

Learning points in unit: The below patient is the first day of my unit duty inthe casuality she came with dengue NS1 positive outside with thrombocytopenia in Tachyponeic state with a petechiae and intact sensorium 1)https ://60shirisha.blogspot.com/2022/12/medicine-case-discussion.html Expanded dengue:   It is a terminology developed in the who guidelines 2012 1) unusual manifestations of patients with severe organ involvement such as kidneys,brain ,liver or heart  associated with dengue infection have been increasingly reported in dengue hemorrhagic fever or in dengue patients who donot have evidence of plasma leakage. These unusual manifestations may be associated with other co morbidities,co infections, or complications of prolonged shock clubbed under the expanded dengue 2) Grades of Dengue hemorrhagic fever https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.japi.org/r294b474/expanded-dengue&ved=2ahUKEwis2v25_PH8AhXIzzgGHb7JB70QFnoECAkQAQ&usg=AOvV

  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 diagnosis and treatment plan K.shirisha Rollno;68 A 70 year old male farmer by Occupation   resident of sagar Came to the casuality on 24/1/23 with complaints of generalized body swelling since 1 week C/o sob since 6 days C/o decreased urine out put since morning C/ O facial puffiness on 26/1/23 Hopi: Patient was alright 1 year ago then he had a weakness of left upper limb and lower limb lefthemiparesisfor that he recieved a herbal medicine for 3 months from January to March 2022 3 months ago he had pedal edema which was pitting type upto knees aggrevated on walking relieved on continuous walking for a while C/ o cough since 1 month, productive cough scanty sputum mucoid in consistency relieved after taking syrup which was prescribed b