General medicine case-4
29 October 2021 This is an online e-log book to discuss our patients deidentified 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: 21 October 2021 A 60 yr old male who is a farmer by occupation resident of cherukupally came to the OPD for the dialysis diagnosed as kidney failure 2yrs back . He went to local hospital and was diagnosed with renal failure. ( serum creatinine 3mg/dl) increased to 8mg/dl He went to local hospital in Suryapet one year back and to NIMS and was on dialysis in there on 9/09/2020 Admitted into hospital on 21/10/2021 Chief complaint: patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : •Pedal edema- since 1yr • Anorexia • Fever • Dyspepsia • Ins