Online blended bimonthly assignment toward summative assessment for the month of May 2021

CASE DETAILS : This is a case of a 57 year old male patient who hails from a rural area of nalgonda district.. He came to the OPD with the chief complaints of  * BILATERAL PEDAL EDEMA since 2 months HOPI :: Patient was apparently asymptomatic 2 months back Then he developed bilateral pedal edema which is of pitting type which was gradually progressive.  He went to a hospital at Hyderabad and  i/v/o high creatinine levels 4 sessions of Dialysis were done over 1 week He came to KIMS, Narketpally on 22/12/2021 for further sessions of Dialysis No history of decreased output, Shortness of breath PAST HISTORY :: There were no similar complaints in the past.  Patient is a known case of hypertension since 2 months on medication ( NICARDIA 10mg) No DM , asthma , Tuberculosis, CAD , epilepsy. NO history of previous surgeries. PERSONAL HISTORY :: Mixed diet with normal appetite Bowel and Bladder movements regular , Consumed alcohol for last 20 years stopped since 2 months Smoking for last 20 yea

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 patient's clinical problems with collective current best evidence based inputs.This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment" 57 YEAR FEMALE WITH DECREASED URINE OUTPUT AND SHORTNESS OF BREATH 15/12/21 ,,  8:28PM  A 57 year old female patient presented to the OPD with chief complaints of decreased urine output since 3 days and shortness of breath grade II-III since one day And fever not associated with chills and rigors  HISTORY OF PRESENT ILLNESS ✓57 year old female patient resident of sirikonda,, housewife . She was apparently asymptomatic 3 years back then she had low back pain which was radiating to gro

  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 patient's clinical problems with collective current best evidence based inputs. 50-YEAR-OLD FEMALE WITH PEDAL EDEMA, BREATHLESSNESS AND DECREASED URINE OUTPUT A 50 year-old woman came to the hospital with complaints of : - Pedal edema since 6 months.  - Shortness of breath which aggravated since 2 months.  - Decreased urine output since 1.5 months. History of present illness : The patient was apparently asymptomatic 6 months ago when she noticed swelling in both her legs which was gradually progressive, extending to her knees, a/w facial puffiness which was on and off for 6 months. H/o increased shortness of breath since 2 months which aggravated to Grade 4 SOB since 10-15

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