General medicine case by Deepika.M

 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