187.SHAIK.ISHRATH PARVEEN

Mini mental scoring examination ? Score Score-5:what is the year ?season?date?day ? Score-5:where are we now? State?country?city?hospital? Score-3 name three unrelated objects clearly and ask the patient to repeat them the examiner should repeat until the patient clearly understand them ? Score -5 Spell the words backwards? Score -3 earlier I have told you three things can u tell me what those were? Score -2 show the patient simple things like watch and ask him to name them ? Score -1 Repeat the phrase no,and ,if Score -3 take a paper in right hand hold it and put it on the floor Score-1 please read the sentence and do what it says like "close your eyes" Score -1 make up and write a  sentence about anything  Score -1 draw any diagram and ask the patient to draw it again  Total score is 30 A score of 25 or above is considered normal ,a score of 24 or below considered abnormal 

This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted A 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with   Chief complaints: -Pedal edema since 3 months -shortness of breath since 20 days - decreased  urine output since 15 days History of presenting illness: The patient was apparently asymptomatic 3 months back when