A 13 yr old suffering with massive splenomegaly

September 01, 2022

1/9/22

Hi, I am shaik Ayesha , 3rd Sem Medical Student.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 patient's clinical problems with collective current best evidence based inputs.

This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.”

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.

CHEIF COMPLAINTS

The patient came with swelling in the left side of abdomen since 15 days and was suffering with cold and cough since 10 days

HOPI

since 15 days the patient had swelling in the abdomen for which he was diagnosed with massive splenomegaly

Ulcers over right leg since 4 days

PAST ILLNESS

The patient is 4th order child born out of grade 4 consanguineous marriage. At 8 months of age patient had altered bowel habits (one week of loose stools and one week of normal consistency stools and few days later he was passing loose stools every day for 2to 3months during which he became very cachectic ) he was suspected as having coeliac disease or chronic diarrhoea

At 9 yrs of age he had swelling over the neck where he was diagnosed with hypothyroidism,he was started on 150mcg thyronorm .later dose increased to 180mcg

Chronic itching over hands and feet over age of 9yrs