General medicine Case

 

  This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient 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 inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. 20years old male  presented to the OPD with chief complaints of  1, Vomitings-1/2episodes/day since 2months 2,shortness of breath since 2months 3, generalised weekends since-2months 4,low grade fever since 40days History Of Present Illnesses  Patient was apparently asymptomatic 2months back den he had onset of vomiting:-1/2episode per day   since then he felt week  Then he had grade 4 SOB   he also has low grade fever associated with neck pain Then he observed pale yellowish discoloration of  hands,eyes

75 YEAR OLD MALE WITH SOB This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case: A 75 year old male resident of  dorumpally  came to casuality with swelling of both lowerlimb  and decreases urine output since 15days HOPI: Patient was apparently asymptomatic 20 week back then he took covid 19 vaccine and he was fine on that day.  Next day he  got fever(which increased at night n subsidenin the morning) and could do his routine(Taking cattle to fields)which subsided on medication Pt developed  bilateral pedal edema after fever got subsided  and he went to a private hospital in nalgonda and they suggested to undergo some investigation s and confirmed b/l renal failure  Pt came to Kims casuality  ,10days back with complaints  of  bilateral pedal edema    insidious  in  onset,pitti