Mahitha Sharma

Chief complaint Patient was brought with cc of abnormal behaviour History of present illness Patient was apparently asymptomatic till22 am last night then he started behaving abnormally  which was sudden in onset in terms of not responding when spoken to, irrelevant talk which is repeating and alao self talking behaviour Patient had history of alcohol consumption since 10 yrs Currently 6 to 12 units per day daily through out the day Reports craving for alcohol Sweating and trembling when he doesnt consume alcohol As per OD patient didnt consume alcohol  since 15 days till  yesterday  But was given 3 units yesterday, tremors subsided after consumption. OD also reports seeing double images, slurring of speech at times & memory disturbances  since ten days Sleep disturbed last night Not going to work since 3 days Appetite decreased History of past illness H/o head injury one month back associated with bleeding H/o previous admission in psychiatry in a private hospital for alcohol (Rep

This is online E log book to discuss our patients health data shared after taking his guardians informed consent form I have been given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings  investigations and come with a diagnosis and treatment plan.  This is a case of 14 yr old female diagnosed with Sickle cell anaemia have multiple admissions for sickle cell crisis  now presented  with chief complaints of        - Joint pains more at night         - Right knee pain since 15 days         - left leg shin pain HOPI Patient was apparently asymptomatic 10 yrs back and diagnosed as Sicke cell anaemia with known history of Abdominal pain, yellowish discoloration of eyes,SOB,fever,dry cough, pleural tap  and she had  blood transfusion 15 times since childhood and had multiple episodes of sickle cell crisis  and brochopneumonia  and pancreatitis