General medicine case presentation

 1.Define Heart failure, etiology, and clinical features of heart failure? How do we diagnosis heart failure clinically, physical examination and various modalities used in diagnosis of heart failure. Write a brief note of treatment of heart failure 2.Define Cirrhosis of liver. Etiopathology of cirrhosis. Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver 3.Elabirate on clinical features and diagnostic modalities in diagnosis of renal calculi 4 . Etiology of pleural effusion diagnostic criteria of pleural effusion? 5.diagnosis and treatment of dengue fever? 6.clinical features and diagnosis of peptic ulcer disease 7.treatment of acutep pleo nephritis? 8 treatment of abdominal TB? 9.etiology and treatment of pnuemonia? 10.complications of dialysis ? 11.Ascitic fluid analysis 12..Proton pump inhibitors. 13.after load reducing agents in heart failure 14.treatment of urinary tract infection 15.diiferential diagnosis of fever with rash 16.insulin therapy

 5 7 year old female with chronic kidney disease With left side pleural effusion . 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 15/12/21. A 57 years old female patient who is homemaker came to casuality  with cheif complaint of decreased urine output since 3 days   C/o shortness of breath  since 1 day C/o cough  intermittent type with yellowish sputum C/o fever not associated with chills. Daily routine : patient daily get up at 6 0 clock have breakfast at 9 o clock . Then she goes to daily wage work .she return home by 5 pm in evening then she have dinner at 8 o clock . Sleeps at 10 pm .routine after development of   generalized weakness  since 5