VISHAL SARDA ROLL NO 142

1801006154 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 diagnosis and treatment plan. CHIEF COMPLAINTS:- A 18 year old female came to casuality  With chief complaints of Pain and swelling in the perianal region since 10 days. feversince 1 week Difficulty in breathing since 2days HISTORY OF PRESENTING ILLNESS:- The patient was apparently asymptomatic 9 years ago  Course of events: 9 years ago: She had polyuria,polydipsia,polyphagia weakness and weight loss due to which she visited a local hospital and there her grbs was high and  was diagnosed to be having diabetes and started on insulin  injection. Inj mixtard 20U - x- 15U. In between due to raised sugar levels she develops abdominal pain and consults a doctor and takes fluids and high dose of insulin  1 week ago:  Patient had swel