general medicine

 19.11.21 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaint: A 40 year old male Patient of came to casualty with chief complaint of facial puffiness and  pedal edema since one month,shortness of breath since 3 days. History of present Illness.pt was apparently well one month ago.then he had pedal edema and facial puffiness.he then was admitted to nalgonda govt hospital and was referred to KIMS for further treatment. History of past illness: a known case of HTN, not a known case of asthma,TB, Diabetes Has a history of NSAIDS usage

 30 G Swetha        General medicine internal assessment on 15.11.21 Long essays 1. Anatomical and etiological localisation for hemipereris and further management 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. Short notes: 3. dengue fever and clinical features and complications.   4 . Cushing syndrome: 6.cardiogenic pulmonary edema 7. Rheumatoid arthritis: 9. Heart failure 10.Ascites Write briefly on: 11 . Pyrexia of unknown origin. 12.Drug induced liver injury.   14. Renal artery stenosis. 15. Acute kidney injury.   16. Oral hypoglycemia agent. 17. Microvascular and macro vascular complications of diabetes    19. metabolic acidosis  20 iron deficiency anemia.

 13.11.21 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. 65 year old male patient presented to OPD with chief complaints of . decreased urine output . pedal edema . distended abdomen History of present illness: Pt was asymptomatic 2 years back and the developed bilateral pedal edema of pitting type of gradually increasing in size and decreased urine output.pt took painkillers since 10 yrs for bodypains  and 2 yrs back he developed fever swelling and shortness of breath.he then took medication from a near by medical shop and symptoms resided.4

 09.11.21 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. A 60 yr old male patient presented to OPD with chief complaints of  . decreased urine output .shortness of breath .pedal edema H/O present illness Pt was asymptomatic 5 yrs back and then he developed edema and pain in one of the legs ,visited local hospital and took painkillers .one yr back he developed odema in both legs and visited nalgonda hospital and advised scanning .he was referred to NIMS and was diagnosed with chronic kidney disease.he got dialysis 4 timesamd due to transport di