Vaishnavi.Dachepalli

This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them.  65 y old male came admitted in hospital  for regular daislysis . Chief complaints: Facial puffiness, pedal odema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,

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: