RANJITH KUMAR ROLL NO 53

A 50 year old male who's a resident of nakrekal,labourer by occupation came to the opd to get admitted in de-addiction centre. HOPI  :  Patient was appareantly asymptomatie 4 years back ,then he developed burning type of pain in the right and left hypochondrium,3 to 4 episodes for which he went to a local hospital and got medications(He's a chronic alcoholic), and the symptoms subsided, 1 year back he was found to have high Sugars at a government camp at his place used OHA's for 2 months & stopped medication for the next 2 months Then he developed complaints of Generalized weakness, polyuria for which he visited a private hosp at Nakrekal found to Have high sugars.He was on insulin since then (took Insulin Irregularly)  .  Came to the Kims de-addiction centre for admission but they refered to medicine department for uncontrolled glucose levels(550mg/dl),10days back he had a history of minor injuries to legs which are not healing and associated with itching. PAST HISTORY

 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 75 year old male, farmer by occupation and a resident of Miryalaguda presented with chief complaint of lower backache, increased urine output and yellow coloured urine. HOPI- The patient was apparently asymptomatic 5 years back then he had joint pains of both the knees and low back ache with difficulty in walking for 3 to 4 months with right knee joint swelling. Right knee joint was aspirated.  6 days back he had Pain in lower back which is shooting type continuous and radiating to lower limbs(Pain was severe that he couldn't sit, so they went to a local hospital and

  THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT           CHEIF COMPLAINTS: A 73-year-old patient came to the opd with chief complaints of dizziness and weakness HISTORY OF PRESENTING ILLNESS: the patient was apparently asymptomatic 4 to 5 years back then he went to a local hospital with weakness and was diagnosed with hypertension and started using MET XL25 tablet under regular medication.     2 to 3 years back patient developed polyuria and went to a local hospital and was diagnosed with type 2 Diabetes mellitus and started Oral hypoglycemic agents.  2 years back he had complained of pain abdomen and was diagnosed with Gall stones then he started