M.Laxmi Sri

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent.Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. A 45 years old male resident of Suryapet, Mechanic by occupation, presented to the OPD with the chief complaints of pedal edema, decreased urine output and shortness of breath ( grade -2) from past 6 months.   Patient was on hemodialysis maintanence till August 1st and then went to NIMS for peritoneal dialysis.  HISTORY OF PRESENT ILLNESS:-  2 years back patient noticed puffiness of the face, bilateral pedal edema then he visited hospital in Khammam and was on medication.  Patient was apparently asymptomatic 6months back then he developed pedal edema which is gradually progressive in nature associated with decreased urine output. 

 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 30 year old female came to the casualty with the chief complaints of cough since 20 days and SOB since 3-4 days.Patient a/a 20 days back.Then she developed cough which is insidious in onset and intermittent and associated with expectoration which is whitish in colour and scanty in amount.It is associated with right sided chest pain which is sharp pricking  type of pain and increased on inspiration.It is also associated with fever since 20 days.Low grade, intermittent fever subsided on taking medications. HISTORY OF PRESENT ILLNESS:- SOB since 3-4 days which is insidious in onset and non-progressiv