A 45 YEARS OLD MALE PATIENT WITH PEDAL EDEMA

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. 
CHEIF COMPLAINT:-
A  45 year old male came to casualty  with a complaint  of pedal edema and SOB.
HISTORY OF PRESENT ILLNESS:-
A 45yr old male patient who is security  by occupation was apparently  asymptomatic one week back then he developed pedal edema   associated with decreased urine output and SOB  gradually  progressed and increased  on  exertion 
First he went to a private hospital and undergone dialysis for four times.
HISTORY OF PAST ILLNESS  :-
 He was diagnosed with HTN  for which he was ordered  renal function tests 3 years ago where his renal parameters have been damaged.he was on conservative  treatment  for about 3 years.
N/k/c/o Dm, asthma ,epilepsy,Tb 
K/c/o  hypertension ( 3years)

PERSONAL HISTORY :-
Married
Appetite: Normal
Mixed diet
Allergies:-No
Adequate:  sleep
Regular :bowel movements 
Normal micturation
Addiction:  
Alcohol occasionally , 
Smoking 
FAMILY HISTORY:
 Patient father has diabetes , hypertension.
 
GENERAL EXAMINATION : 
 Patient is conscious,coherent,coperative 
No history  of  cyanosis, clubbing
Lymphadenopathy, pallor
Physical  status :moderately built

VITALS
 Temp-98.3F
 PR- 79
RR-18
BP-130/90

SYSTEMIC  EXAMINATION:
Cardiovascular system
Cardiac sounds: S1 S2+
No thrills  and cardiac murmurs
Respiratory system
Dyspnoea: No
Wheeze: No
Shape Abdomen : scaphoid
DIAGNOSIS  :-
   CRF ( chronic renal failure)
INVESTIGATIONS:-
ECG
Day 1:-
Day 2,3:
Day 4:

Comments

Post a Comment

Popular posts from this blog

A 45 yr old female patient complains of loss of appetite burning micturation and inadequate sleep

Image
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 box. CHIEF COMPLAINT: A 45 yr old female patient  came to the causality with a complaint of loss of appetite , burning micturation  and inadequate  sleep since 2months HISTORY OF PRESENT ILLNESS:   A 45 yr old female patient who agricultural  labour  by occupation  was apparently asymptomatic since two months then she noticed loss of appetite burning micturation and inadequate sleep  Firstly she visited near by local hospital   HISTORY OF PAST ILLNESS: 4yrs back she had undergone( right
Read more

A 40 yr old female patient with a fever

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.  CHEIF COMPLAINT : 40yr old female patient came to causality with complaint of fever since 4 days   nausea since 3days, generalized weakness nd loose stools since a day HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 5days back  and then she noticed fever, generalized weakness associated with cough went to  local hospital for hypotension started on fluids and discharged.she had vomitings w on food intake, history of loose stool   episodes watery, foul smelling with  HISTORY OF PAST ILLNESS: N/k/o HTN,TB,epilepsy,asthma,thyroid. H/o of dust allergy  PERSONAL HISTORY: Appetite: decreased Diet:
Read more

Final short case

Image
This is a 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 patients problems through series of inputs from available global community of experts with an aim to solve those patients 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 in comment box is welcome. 38 year old female, housewife, came to opd  on 14/1/23 Chief complaint  Patient came to opd with chief complaints of :      Decreased urine output since 1 month       Painful urination since 15 days       Burning micturition since 10 days       Pain in lower abdomen since 10 days History of present illness:-  Patient was apparently asymptomatic 1 month back , then she developed decreased urine output Since 1 month.  she developed pain during micturition since 15 days which is insidious onset.  Burning
Read more