GM cases

 A 57 year old man, who works different jobs for wages, hailing from Miryalaguda presented to the hospital with- • generalized swelling of legs since 2 days. Date of admission - 7/10/21. HISTORY OF PRESENT ILLNESS • The patient was apparently asymptomatic two years back. • Patient noticed swelling in their legs one and a half year ago. • They visited a hospital in Miryalaguda who diagnosed the patient with Chronic Kidney Disease. • The hospital instructed the patient to start dialysis. • The patient starts dialysis but the pandemic ensues leaving patient and their family in financial weeds. • In mid 2020 the patient decides to stop going for dialysis for 8 months. • At home, the patient usually wakes up by 7am. They do not work or participate in the household activities.  • The patient then sits out of the house in the sun till lunch.  • After lunch patient sleeps; to wake up after 2 hours. • The patient then gathers with their friends and talks to them till it's time for dinner. •

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-centred online learning portfolio and your valuable inputs on the comment"   35 yrs female ,came to opd with complaints of swelling in abdomen since 15 days History of present illness:   Patient was apparently asymptomatic 15 days ago back . She developed fever which is mild onset ,gradually it is associated with chills and rigor. Fever has been subsided  taking medication. -she developed abdominal distension 15 days back  -patient has suffered from loss of appetite from 10 days ago Past history: -No history of chest pain ,palpitations,cold ,cough  -patient

   1. Anatomical and etiologic localisation for hemiparesis and further management. 2. Etiology , pathogenesis , clinical features, management and complications of acute pancreatitis. 3. Dengue fever , clinical features and complications 4. Cushing syndrome  6. Cardiogenic pulmonary Edema. 7. Rheumatoid arthritis. 8.leptospirosis 10.ascites. 11. Pyrexia of unknown origin. 12.DRUG INDUCED LIVER INJURY. 13.EVALUATION OF LOWER BACK ACHE. 14.renal artery stenosis. 15.acute kidney injury. 16.oral hypoglycemic drugs. 19. Metabolic acidosis. 20. Iron deficiency anemia. .

  CASE:- Chronic kidney disease  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" A  Cheif complaint -  A    40 year old man , is a farmer by occupation came with the complaints of Pedal edema    since 3 months , along with facial puffiness , Shortness of breathe ( Grade 4) and  Decreased urine output since 3 months HISTORY OF PAST ILLNESS:- Not a known case of hypertension, diabetes, asthma, epilepsy, tuberculosis. PERSONAL HISTORY:- Patient takes mixed diet, normal appetite sleep adequate(sleeps about 6-7 hours at night, wakes up

  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" A 58 year old male patient who was agricultural worker by occupation ;was presented to OPD  2½yrs back  with the cheif complaints of swelling of the legs and body pains. HISTORY OF PRESENT ILLNESS: The patient was apparently normal 4 years back ,Then the patient has suffered from fever 4 yrs back and visited the hospital. In the general checkup he was identified with the increase in the blood pressure and was prescribed with the medicines. One tab. Daily in the morning The fever su