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Showing posts from November, 2022

A 24 yr old male came to casuality with reduced urine output.

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. A 24 year old male patient, resident of Devarakonda, Cowherd by occupation came to our hospital with chief complaints of- 1. Reduced urine output with involuntary in action 2. Shortness of breath which is insidious in onset, gradually progressive 3. Pedal edema. Date of admission :- 09/03/2022 History of present illness:- Patient was apparently asymptomatic 10 days back and developed fever which is insidious and intermittent, and reduced urine output with involuntary in action. History of past illness:- Not a known case of diabetes, hypertension, tb, epilepsy 10 years ago he had same problem. Personal histor

45/M with Abdominal distension and pedal edema

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45 year old male complaints of abdominal distension and b/l pedal edema (pitting type) , shortness of breath and scrotal swelling  October 29,22 Chief complaints Patient complaints of  Abdominal distension  B/l pedal edema  Shortness of breath  Scrotal swelling             Since 25 days  History of presenting illness Patient was apparently asymptomatic 6 years  back then he had c/o multiple swellings over chest for which he went to hospital and was diagnosed as diabetic and started starting medication since then  2 years back when he went for routine checkup he was diagnosed as hypertensive and started taking medication  6 months back patient became unresponsive and speech was reduced and was taken to local hospital where he was found to have low Grbs (27mg/dl ) and also found to have jaundice and was advised to stop alcohol consumption  Then 25 days back he developed scrotal swelling   , pedal edema (pitting type ) above knee and abdominal distension which was insidious in onset and g