case history

  This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission - February 3  43 year old female patient presented to the opd with chief complaints of low backache since 6days, vomitings and pain in the abdomen since 5day.  History of present illness- Patient was apparently asymptomatic since 16 years back , then she had anasarca for which she was admitted in hyderabad. There she was diagnosed with hypothyroidism ( tab. Thyronorm 50 micrograms  ),renal failure (tab. Torsemide 20 mg+spironolactone50mg) and diabetes mellitus for which she was on injection Mixtard and increased in doses since 1 and half year.   Now she presented to the opd with pain in the abdomen which is o

1 define heart failure .etiology and clincal features of heart failure. Diagnosis of heart failure.physical examination  and various modifications in diagnosis of heart failure and write treatment of heart failure  2 Define cirrhosis of liver. Ethiopathogenesis of cirrhosis. Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver   3 elaborate on clinical features and diagnosis modalities in diagnosis of renal calculi 4 etiology of pleural effusion. Diagnosis criteria of pleural effusion 5 diagnosis and treatment of dengue fever 6 clincal features and diagnosis peptic ulcer disease   9 etiology and treatment of pneumonia 10. complications of dialysis  11. Asitis fluid analysis  12. Proton pump inhibitor 13 after load reduceing agents in heart failure  14 treatment of urinary tract infection  15 dd of fever and rash 16 insulin therapy dm 17 anti hypertensive in chroni kidney  18 intercranial hemmarage  19 criteria for diagnosis of infective endocarditis  2

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.    65 year old male patient came to OPD with chief complaint  shortness of breath  since 1 month   bilateral pedal edem and complain of decreased urine output since 2 months   decreased appetite HISTORY OF PRESENT ILLNESS  65 year old male who is daily labour by occupation   was apparently asymptomatic 14 years back doing all his routine activities and then he met with an accident  and developed  low back ache for which he was  treated for six days and then discharged .then he noticed continuously back ache for which he took NSAIDS for 10 years in nearby hospital Two years back he noticed bilateral pedal ede

  32 YEAR OLD MALE WITH CKD ON MHD 32 years old male patient came with chief complaints of shortness of breath and pedal edema since 1 year. History of present illness: Patient was apparently asymptomatic 1 year back then developed: 1)Shortness of breath which is insidious in onset,gradually progressive 2)Bilateral pitting type of pedal edema extending upto ankles,aggravated on walking, relieved on lying down. History of decreased urine output.  History of facial puffiness more during daytime. History of jaundice 1 year back.( History of usage of herbal medication for jaundice). No history of chest pain/palpitations. No history of chronic cough/hemoptysis Patient went to NIMS hospital with the above mentioned complaints. His RFT was deranged and renal biopsy showed glomerular basement membrane thickening and focal effacement of visceral epithelial foot processes. Dialysis was initiated from then and he is getting weekly 3 dialysis sessions. Past history: He is a known case of hypertens