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Showing posts from May, 2020

Case of a 42 year old woman with multiple health issues

Presented by, V. Saketh Roll.No:174 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 a diagnosis and treatment plan. After going through the patient's history, clinical findings and investigations. Problems of this patient in order of priorty according to me are: 1. Fatigue, skin-pale and yellow, shortness of breath. 2. Oliguria and unable to sweat. 3. Edema. 4. Headache. 5. Sleep disturbances. Fatigue, dyspnoea- This is due to hemolytic anemia which is caused due to G6PD deficiency. G6PD enzyme helps the RBC from oxidative stress by free radicles by releasing NADPH. So lack of this enzyme causes hemolysis. -The triggering factors for this patient are eating fava beans, intakr of anti-malarials, sulfa drugs, exposure to various allergens. -It can also lead to increase in heart