42Meghanapriya Gen medicine

  Date-20/12/21. "This is an online E log book to discuss our patients 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". Date of admission-13/12/21. 70 years old male daily wage labourer by occupation came to the casuality with the chief complaints of;  BURNING MICTURATION -for 4 days SHORTNESS OF BREATH with wheeze-for 4 days FEVER WITH CHILLS-for 4 days HISTORY OF PRESENT ILLNESS; Patient was apparantly asymptomatic 11 days  ago having a normal daily routine,he used to wakeup early in the morning around 5.00am and around 9 am he used to go to farm land, he used to return home by 6.pm and he used to sleep by 9.pm.4 days ago he developed fever with chills which is intermittent ,then their family members took h

  In this online e-logbook, we upload our patients de-identified health data shared after taking his/guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from an available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence-based inputs. A 50 year old male patient presented to OPD with chief complaints of pedal edema since 2 months, decreased urine output since 15 days,abdominal distension since 15 days,SOB Since 15 days. History of present illness:- Patient was apparently asymptomatic 2 months ago then he developed pedal edema started in foot and spread to knees and the edema increased since 15 days,break in the stream of urination,SOB Grade 3. Known case of diabetes since 5 years and on oral hypoglycemic drugs. Not a known case of HTN. History of deviation of mouth to left since childhood. Personal history:- Diet:-Mixed  Bowel and bladder:-Normal Mict