General medicine case by Deepika.M

 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 clinical problems with collective current best evidence based inputs. 32 YEAR OLD MALE With     CKD ON MHD 32 year old male, worker in an electrical industry in Mumbai came to the OPD, on 10/10/21 with right hip pain. HOPI: Patient was apparently asymptomatic 3years ago, then he developed pain in loin region for which he went to a private hospital in mumbai and was diagnosed with bilateral renal calculi and bilateral stents were placed (patient attender said that there was no problem in kidney function at that time). Patient had no problem after that and continued to work. After 4-5months the stents were removed, just 1 week after stents were removed patient again had pain in his l

 December 20 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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome". A 22 years old female, who is a student hailing from Miryalaguda presented to the Opd with the Cheif complaint of blurred vision and shortness of breath. HISTORY OF PRESENT ILLNESS :-  Patient was apparently asymptomatic 1 year back Normal routine of patient one year back :- She used to wake up at 6.am in the morning and used to have breakfast at  8.30 am and lunch at 2.am, dinner at 8.am . Then one year back while reading the books she experienced blurring of vision

  This is an 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. CHEIF COMPLAINT :- A 75 years old male patient who is farmer by occupation  presented to the Opd with a chief complaint of fever since one month, pedal edema since 15 days. SOB.  HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic one month back then he developed fever which was low grade, intermittent for which he visited the local hospital, prescribed with paracetamol. 15 days back   he developed bilateral pedal edema of pitting  type, inscidous,gradually progressive below the knee, along with fever for which they again visited a local hospital and was told that the both kidneys got failed. 5 days back

 1.anatomical and etiologic localisation for hemiparesis and further management. 2.etiology, pathogenesis, clinical features management, complications of acute pancreatitis.  3.dengue fever, clinical features and complications.   4.cushing syndrome.  5.mandibular advancement device.  6.cardiogenic pulmonary edema.  7. rheumatoid arthritis.  9.heart failure.  10.ascites. 11.pyrexia of unknown origin  12.drug induced liver injury.  13.evaluation of lowback ache.  14. Renal artery stenosis.  15.acute kidney injury  16.oral hypoglycemic agent.  17.microvascular and macro vascular complications of diabetes.  18.lights criteria.  19.metabolic acidosis.  20.iron deficiency anemia