Medicine cases discussion

    This is online E-blog, to discuss our patient de-identified health data shared after taking her 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 the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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. M.Abhignya      8th sem 03/06/21 Case 35 year male pt came to the OPD on 02/06/21 with the chief complaints of : Pain in upper abdomen since 1 day vomitings since 1 day History of present illness Pt. was apparently asymptomatic 1 day back and then developed  persistent * Pain

  THESE COVID CASES ARE GROUPED BASED ON SEVERITY AND THEIR OUTCOME 1) Covid 19 with co morbidity (Pulmonology/Rheumatology)   https://nikhilasampathkumar.blogspot.com/2021/05/covid-pneumonia-in-pre-existing-case-of.html Questions:  1) How does the pre-existing ILD determine the prognosis of this patient? *The pre-existing ILD significantly worsens the prognosis of this covid patient.  Interstitial lung disease is characterized by dyspnea, decreased pulmonary diffusing capacity, decreased FVC and TLC. The SpO2 of these patients is usually decreased due to increased A-a gradient *A superimposed covid-19 infection in these cases can cause an acute exacerbation of symptoms such as dyspnea, decreasing levels of SpO2 further and faster than in Covid-19 patients without interstitial lung disease.  *Radiology (HRCT) usually shows the development of new pulmonary opacities and fibrosis. Patient factors:  *Since this patient already had a reduced SpO2 of 90-92% (compared to the normal range of