General medicine Case

  pain abdomen secondary to uncontrolled sugars with DKA with ? pancreatitis with AKI on CKD. (CKD secondary to metabolic acidosis ) with HFPEF with metabolic acidosis secondary to DKA & CKD with H/o DM-2 , hypothyroidism , CKD - February 06, 2022 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 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 box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, i

 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHEIF COMPLAINTS A 65 YEAR OLD MALE TODDY TREE CLIMBER BY OCCUPATION CAME WITH C/O ANURIA BEFORE 4DAYs SOB GRADE -2-3 HOPI PATIENT WAS APPARENTLY ASYMPTOMATIC 15 YEARS BACK , PATIENT SUDDENLY FELL FROM TODDY TREE WHILE CLIMBING HAD HISTORY OF FRACTURE OF FEMUR WHICH ORIF WAS DONE .  AGAIN 10 YEARS BACK PATIENT HAD C/O FALL DUE TO GIDDINESS , DIAGNOSED WITH HYPERTENSION AND SINCE THEN ON REGULAR MEDICATION Patient Has Got Flexion Fixed Deformities 7 Year Back . Stays In Home and stopped Climbing Toddy Trees . Then after 5 years he had h/o fall ,had #tibia, no treatment was done From then he was unable to walk