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51 yr old male with pedal edema and facial puffiness

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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 51 yr old male patient presented to Opd with cheifcomplaints of pedal edema and facial puffiness since 2 months.   History of present illness :       Patient was apparently asymptomatic 1 yr back then he developed pedal edema and facial puffiness for which he visited hospital and diagnosed as renal dysfunction and he was on medication and dialysis also done once and symptoms subsided . Then he stopped using medications and symptoms recurred and then   he  visited our hospital and investigations are done and diagnosed as chronic kidney failure.And kept on maintenanc...

internal assessment

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 1.Anatomical  and  etiological localisation of hemiparesis and it's further management ? 2. Etiology pathogenesis  clinical features management and complications of pancreatitis?  3. Dengue fever clinical features and complications   ?   4. Cushing syndrome ?    5. Mandibular advancement device? Not attempted 6. Pulmonary edema?  7.  Rheumatoid arthritis ?    8.  Leptospirosis? 9.  Heart failure? 10 . Ascites? 11.pyrexia of unknown origin ?  12. Drug induced liver failure?  13 . Evaluation of lower back pain? 14. Renal artery stenosis?     15. Acute kidney injury? 16. Oral hypoglycemic agent 17.  Microvascular and macrovascular complications of diabetes? 18.Lights criteria  Not attempted 19. Metabolic acidosis 20. Iron deficiency anemia  

40 yr old male with hyperpyrexia and decreased platelet count

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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 40 yr old male patient wage worker by occupation came to opd with cheif compliant of fever since once week and decreased platelet count . History of present illness:  Patient was apparently asymptomatic 1 week back then he developed high fever   then he visited a nearer medical care centre and diagnosed as typhoid and treatment is given and for 2 days he was alright. And later after two days again he developed fever  and chills during night time and serve weakness that he  was not able to take food then  he visited nearer hospital and diagnosed as decreased platelet count with hyp...

60 yr old female with lower back pain ,pedal edema and decreased 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 60 yr old female  presented to Opd with cheifcomplaints of facial puffiness ,lower back pain and pedal edema.   History of present illness: Patient was apparently asymptomatic 4 months back and then she noticed facial puffiness and pedal edema and also has lower back pain.  Then she  was given symptomatic treatment and she also used analgesics for lower back pain. Later again she noticed the symptoms and visited local health care centre and there she diagnosed as kidney failure.   Now she was undergoing dialysis twice a week  since 3 months.  History of past illness : P...