Gen Medicine Case Discussion

Greetings to one and all who are currently reading my blog. This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. Note: This is an ongoing case and will be uploaded as and when information is provided. This E-Log has been made under the guidance of DR.PRADEEP Casualty case  60 year old female resident of nalgonda presented to casualty with complaints of : Loss of appetite and nausea since 10 days. Generalised weakness and unable to get up from bed since 3 days. Decreased urine output since 3 days Constipation since 3 days. Altered sensorium since 2 days . So

Casualty case  New admission in nephrology :  60 year old female resident of nalgonda presented to casualty with complaints of : Loss of appetite and nausea since 10 days. Generalised weakness and unable to get up from bed since 3 days. Decreased urine output since 3 days Constipation since 3 days. Altered sensorium since 2 days . Sob - grade 3 since 1 day. Pt was a daily wage labourer .She stopped working 1 year ago when her husband passed away and due to generalised weakness ,since then she is staying at home .But does her regular activity at home . Pt has 2 children . Full term normal vaginal delivery at home. She has no comorbities and has history of NSAID abuse for 5- 6 years for generalised bodyaches. She is chronic chutta smoker since 30 tears (8-10 chuttas per day intially. Since 6 years reduced it to 2-3 chuttas /day ). She is also occasional alcoholic . 6 years ago she had history of fever and genralised edema ,facial puffiness . Loss of appetite , for which she visited

DR.ROSHINI REDDY August 11, 2021 Greetings to one and all who are currently reading my blog. This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. Note: This is an ongoing case and will be uploaded as and when information is provided. This E-Log has been made under the guidance of DR.ZAIN ALAM. Case scenario:- 75 yr old male, farmer by occupation, came to the casuality with- CHIEF COMPLAINTS:- Fever since 10days Altered sensorium since 6pm on the day of admission HISTORY OF PAST ILLNESS:- Patient was apparently asymptomatic until 12months back when they obser