General medicine case presentation

   This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. Date of admission: 20/11/2021 A 44   year old male  who is  farmer by occupation came to casuality with cheif complaint of swellings in limbs since 1 month  ,abdominal distension since 3 months. History of present illness: Patient was asymptomatic 10 years back .He underwent dipression and addicted to alcohol . 9 years back due to  severe dipression he committed suicide by swallowing poison and admitted in KIMS .nkp.1 year after he again commited suicide by taking sleeping pills and admitted into hospital and treated accordingly.5 years back he had pain in abdomen following which he diagnosed with cholelithiasis for t

 1. Anatomical and etological localisation for hemiparesis and further management 2. Etology clinical features management complications of acute pancreatitis 3.Dengue fever clinical features and complications 4.cushing syndrome 6.cardiogenic pulmonary edema 7.Rheumetoid arthritis 8.leptospirosis 9.Heart failure 10.Ascities 11.pyrexia of unknown origin 12.Drug induced liver injury 14.Renal artery stenosis 15.Acute kidney injury 16.oral hypoglycemia drugs 19.metabolic acidosis 20.Iron deficiency anemia 

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input A 22 year old female came to OPD with complains of   fever since 10 days and rashes over body with itching sensation since 4 days. History of present illness: Patient was asymptomatic 1 month back ,she developed rash over the legs , hands and abdomen after coming contact with something in her family's lemon field for this she went to local doctor  who prescribed steroid ointment  and oral medication. She used it for 10 days .rashes are subside but rashes remains on the skin .   10 days ago ,then she developed fever associated with chills and body pains and vomitings 2 to 3 episodes per day then she diagnosed as  fev

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 15 years old male patient studying 9th class came to casuality with complaints of shortness of breath since 4 hours associated with acute chest pain since 4 hours. History of present illness: Patient was apparently asymptomatic 1 month back , patient complains of vomitings 2 to 3 episodes daily associated with food particles and not associated with blood. Patient gives history of fever 1 month back associated with chills which is relieved by using medication for 2 days. Incidentally he diagnosed raised urea 63 mg / dl and raised creatinine 8.3 mg/dl  went to Hyderabad with in one day urea has raised to 135 mg/dl and