General Medicine case discussion

50 YEAR OLD MALE  WITH COMPLAINTS OF OF SOB SINCE 10 DAYS. 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 patient's 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 the comment box. 50 years Years old male came to OPD  Cheif complaints:  shortness of breath since 10 days. Complaints of decreased urine output Nausea,B/L pedal edema , constipation since 10 days. HOPI: Patient was aparently asymptomatic 15 years back, then developed B/L pedal edema , shortness of breath and was brought to our hospital 1 session of HD done.Patient was diagnosed with CKD 15 years back and was treated conservatively(on and of

56 YEARS OLD MALE WITH SOB grade 4 56 years old watchman by occupation came with the c.c of SOB grade 4 and left sided pain in the inframammamary area since 10 days. History of present illness- Patient was apparently asymptomatic 10 days back. Then He developed SOB grade 2 which was insidious in onset, gradually progressive and progressed to the present    grade 4 in the last 3-4 days. H/O Orthopnea present. C/O Pain in left scapular area radiating to left side of chest since 10 days. Pain increases on cough. H/O cough present since 1 week. Associated with mild sputum which    is non- blood stained. C/O pain in the Right iliac fossa region on coughing. Not associated with tenderness. No h/o chest pain No h/o palpations No h/o headache No h/o loose stools, oliguria. No h/o abdominal distension. No h/o PND. No h/o fever.  Past h/o-H/O Asthma since 5 years. Exacerbated in winter season. Uses inhaler for Acute episode. H/O TB 4 years ago. Used medication for 3-4 months. Not K/C/O DM, HTN,

A 55 year old with h/o Anuria(since1 day) and fever since 4 days.  DECEMBER10,2021 Cheif complaints: A 55 year old female presented to casualty with c/o of anuria since yesterday night  HOPI- PATIENT was apparently asymptotic 1 year ago , when her sister died she cried a lot , felt weak and was taken hospital , routine investigations were done and was told she had kidney problem and was referred to kamineni I/v/o dialysis and was admitted for 2 sessions of dialysis .Urology opinion was taken for ?obstructive uropathy , ?kidney operation was done ,used medication for 3 months and the symptoms were relieved  H/o nsaid use for 1year h/o pedal edema and facial puffiness 6 months ago . Sob not present  Comorbities - hypertensive since 6 months  Headache (frontal since  2 months ) H/o fever since 4 days associated with chills  H/o anuria since 1 day  H/o vomitings 1 episode (non projectile,non bilious ),food as contents  No h/o hematuria , frothy urine  No h/o cold , cough , loose stools , b

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 patient's 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 the comment box. 60 YEAR OLD MALE WITH COMPLAINTS OF ABDOMINAL DISTENSION, BILATERAL LOWER LIMB SWELLING AND DARK STOOLS HOPI: Patient was apparently normal 11 years back following which he developed sudden onset of chest pain associated with sweating and diagnosed with ? CAD and had CAG + PTCA and was on regular follow up since then.       4 months later he had persistent headache and neck pain for which he was taken to the hospital nearby where he was diagnosed with HTN and Diabetes and treated