74 S Nithesh

 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.  Date of admission : 20 November 2021 A  48 year old male who is farmer by occupation came to the OPD with the chief complaint of pain in the abdomen and bilateral pedal edema since 20 days. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back when he developed depression and was addicted to alcohol.  He attempted suicide 9 years back by consuming poison due to depression, was brought to Kamineni and was treated. An year later he again attempted suicide by taking sleeping pills and he was taken to hospital and treated for that. 5 years back he had pain in the abdomen following w

 1.anatomic and etiological localisation for hemiparesis and further management 2.etiology, pathogenesis, clinical features, management complications of acute pancreatitis? 3. Dengue fever clinical features and complications? 4. Cushing syndrome? 7. Rheumatoid athritis 8. Leptospirosis? 9.Heart failure? 10.ascites? 14. Renal artery stenosis? 15. Acute kidney disease? 16.oral hypoglycemic agents? 12. Drug induced liver injury? 13. Evaluation of back ache? 17. Diabetes 20. Iron deficiency anemia?

 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. A 52 year old male shopkeeper by occupation  presented to OPD with the chief complaints of decreased urine output, irregular bowels and micturition, from past 6 months, he has swollen  left hand  since 4 months(left arm AV fistula access) HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6 months back then he observed the decreased urine output, burning micturition, irregular bowels,loss of appetite for one month 6months back he consulted a doctor at Hyderabad he had a x ray of the kidneys and the patient was advised to go for the dialysis. Initially he started dialysis at Hyderabad lat