Medicine Case Discussion

This is 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 patients 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 comment box is welcome . CHIEF COMPLAINTS:  Patient came with complaints of:  -decreased urine output since 3 months  -bilateral swelling of lower limbs since 3 months  HOPI:  Patient was apparently asymptomatic 2 years back, then she developed decreased urine output, bilateral pedal edema and was diagnosed to have renal failure with heart failure and was in conservative management since 3 months the symptoms have progressed. Patient was initiated on hemodialysis.  Past History:  K/c/o DM2 since 25 years  K/c/o HTN sin

This is 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 patients 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 comment box is welcome . CHIEF COMPLAINTS:  45 year old male, resident of Rajavaram came with complaints of  - decreased urine output 2 years back -facial puffiness 2 years back -swelling of feet 2 years  HOPI:  Patient was apparently asymptomatic two years back and then he had complaint of bilateral pedal edema which was grade 2 a/w decreased urine output where he would not pass urine even once per day. It was also associated with shortness of breath on doing daily activities.  He went to a local hospital and was diag