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  GENERAL MEDICINE E-LOG October 04, 2021 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 problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.  NOTE: This is an ongoing case, the ELOG will be updated as and when we get the new information.  CHIEF COMPLAINT: A 65 year old male came to opd with the chief complaints of  Pedal edema and  Dyspnea on exertion( Grade III) since 10 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back, then he developed pedal edema and he was having dyspnea on exertion which is of grade III.  No bleeding manifestation No c/o burning micturition  No c/o cough, cold, headache HISTORY OF PAST ILLNESS: He was diagnosed with Acute K...
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CKD CASE

CKD CASE 20,06,2022 CASE SCENARIO  Pt aged 70 years came to opd with chief complaints of flank pain and decreased urine output  HISTORY OF PRESENT ILLNESS  Since a week pt has flank pain and decreased urine output   HISTORY OF PAST ILLNESS Pt was asymptomatic 4years back than he met with an accident for which he has been taking medication for pain as post operative medication for pain as a result of chronic use of pain medication pt's kidneys got gradually damaged which resulted in kidney failure  TREATMENT HISTORY  patient is on hypertensive therapy since 3 years and pain killers  PERSONAL HISTORY  Regular bowel habbit  Mixed diet  Decreased urine out put  PHYSICAL EXAMINATION  .patient is conscious,coherent ,and cooperative  .moderately built and moderately nourished  .No signs of --pallor                           .icterus     ...
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ALTERED SENSORIUM SECONDARY TO ? SEPTIC ENCEPHALOPATHY WITH UTI ? TB MENINGO ENCEPHALIIS WITH PRE RENAL AKI ON CKD WITH HEALING GLUTEAL ABSCESS WITH HTN WITH LATE ONSET PSYCHOSIS WITH ANEMIA OF CHRONIC DISEASE WITH GRADE II BEDSORE WITH HYPOKALEMIA

Case History and Clinical Findings  PT C/O FEVER,ALTERED SENSORIUM,LOSS OF APPETITE SINCE 2 DAYS. PT WAS APPARANTLY ASYMPTOMATIC 2 DAYS AGO THEN SHE HAD FEVER WHICH WAS HIGH GRADE, NOT ASSOCIATED WITH CHILLS, RIGORS.RELIEVED WITH MEDICATION.NO DIURNAL VARIATION. ALTERED SENSORIUM SINCE 2 DAYS. IRRELEVANT BLACK OUT , NOT ABLE IDENTIFY ATTENDERS. NO H/O LOSS OF CONSCIOUSNESS,INVOLUNTARY MOVEMNENTS, WEAKNESS IN BOTH UPPER AND LOWER LIMBS.LOSS OF APPETITE PRESENT N/H/O CHEST PAIN,SOB,PALPITATIONS,PEDAL EDEMA. N/H/O COUGH,BURNING MICTURITION K/C/O HTN ON TAB.ATENOLOL K/C/O CKD ON CONSERVATIVE MANAGEMENT K/C/O AKION CKD SECONDARY TO RUPTURED GLUTEAL ABSCESS WITH K/C/O LATE ONSET PSYCHOSIS H/O BLOOD TRANSFUSION- FFP TRANSFUSION GENERAL EXAMINATION- PT IS DROWSY AROUSABLE WITH DEEP PAIN STIMULATION NO PALLOR,ICTERUS,CYANOSIS,CLUBBING,LYMPHADENOPATHY,OEDEMA.  BP: 100/60MMHG PR : 98BPM RR : 24 CPM SPO2 : 97% GRBS : 148 MG% I/O : 2500/1300 SYSTEMIC EXAMINATION  CVS : S1 S2 HEARED ,N...
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