Charitha

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.  DOA:- 15/12/2021   A 57 year old female patient presented to the OPD with chief complaints of decreased urinary output since 3 days , with bilateral pedal edema since 3 days and shortness of breath grade II-III since one day and fever not associated with chills and rigors  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 3 years back then she had low back pain which was radiating to groin. Then she went to local hospital diagnosed as renal caliculi and kidney dysfunction on investigation. From then she was on medication. Decreased urine output since 3days  Shortness of breath with grade II-II

  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.  A 35year old male patient presented to the opd with fever and dizziness since 3 days.  Daily routine Patient is barber by occupatin. He wakes up at 6:00am in the morning, after his daily activity . He goes to the barber shop and runs it for 2-3 hrs. Then he drink alcohol. In afternoon after taking lunch he sleeps for sometime. In the evening he again goes to barber shop. In the night he again consumes alcohol. Comes back home and takes dinner and sleep.  History of present illness Patient was apparently asymptomatic 3 days back. Then he developed fever which was decreasing on taking anti pyretics.  He bec