Medicine log book by Shivani Mukkawar

This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent. Here we discuss our individual patient 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. Date of admission :- 30/8/21 CHIEF COMPLAINTS:-   A 45 years old male resident of Suryapet, Mechanic by occupation, presented to the OPD with the chief complaints of pedal edema, decreased urine output and shortness of breath ( grade -2) from past 6 months.   Patient was on hemodialysis maintanence till August 1st and then went to NIMS for peritoneal dialysis.  HISTORY OF PRESENT ILLNESS:-  2 years back patient noticed puffiness of the face, bilateral pedal edema then he visited hospital in Khammam and was on medication.  Patient was apparently asymptomatic 6months back then he developed pedal edema which is gradually progressive

This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient 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.      Date of admission: 21/08/21 Cheif complaints:- A 26 year's male patient bought to the casuality with history of fever since 5days. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 15 days back. Then he complaints of cough and fever which was insidious in onset ,low grade, intermittent,not associated with chills & rigor which relieved upon taking medication. Again 4 days back patient complaints about continuous fever not associated with chills and rigor and not reliving upon taking medication. From 3 days patient complaints about abdominal tenderness. On health check up there was reduced platelet count t