E.RISHITHA REDDY

  E.RISHITHA REDDY ROLL . NO-30 MEDICAL CASE DISCUSSION: “ 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, in an attempt to understand the topic of "patient clinical data analysis" and to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations as well as to come up with a diagnosis and treatment plan. Case Report A 46-year-old female, who had come to hospital.   History of presenting illness- presented with a

  I here by thank my professors for giving  such creative work and make us learn about many things.  Preparing these elog have  made us to think broadly by searching few articles gathering them learning them .  This learning process is really quite fun for us .This process of learning many things from home is very useful for us.  Since we cannot go to hospitals because of Covid pandemic. Ok First I thought that this way of taking is quite difficult but as we are in we learnt many things and found that very interesting . This is some what like a students reasearch project on Covid affects on various kinds of patients . 

  COVID CASES MAY- Link to Masterchart on COVID-19 https://1drv.ms/x/s!AuQFw5MhJBz0crywv8OhyYyCtX8 9) Covid cases 1) Covid 19 with co morbidity (Pulmonology/Rheumatology ) https://nikhilasampathkumar. blogspot.com/2021/05/covid- pneumonia-in-pre-existing- case-of.html 2) Covid 19 with Diabetes  https://nehapradeep99. blogspot.com/2021/05/a-50- year-old-female-with-viral. html   Questions: 1) Since patient didn't show any previous characteristic diabetes signs, did the Covid-19 infection aggravate any underlying condition and cause the indolent diabetes to express itself? If so what could be the biochemical pathways that make it plausible ? 1.The novel coronavirus enters cell hosts through An- giotensin II Converting Enzyme receptor (ACE2).  ACE2 receptor is found in the pancreas, both on exocri- ne cells and in the endocrine cells, that constitute pancreatic islets. Interestingly, its expression is also relevant in the endothelial cells of the microvasculature supplying beta-cells