MANASA KALE ROLL NO :64

THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT     chief complaints : 45 year old male who is a resident of Nalgonda and Sheperd  by occupation presented to the hospital with chief complaints of   shortness of breath and  cough since 6 years  abdominal distention , facial puffiness , pedal edema since 3 years HOPI patient was apparently asymptomatic 6 year back and then he developed shortness of breath which is insidious in onset gradually progressive which is grade 2 (MMRC grading ) . Then he developed cough which is productive with sputum which is yellow in colour and non blood stained  There is history of abdominal distention since 3 years which is ins

  A 75 year old male, farmer by occupation and a resident of Miryalaguda presented with chief complaint of lower backache, increased urine output and yellow coloured urine. HOPI- The patient was apparently asymptomatic 5 years back then he had joint pains of both the knees and low back ache with difficulty in walking for 3 to 4 months with right knee joint swelling. Right knee joint was aspirated.  6 days back he had Pain in lower back which is shooting type continuous and radiating to lower limbs(Pain was severe that he couldn't sit, so they went to a local hospital and got treated). Pain was followed by fever which is Intermittent, and temperature increased at night and fever subsides by morning. Fever relieved on medication (Dolo). There is also increased frequency of micturition around 15times in a day(18 times in one night), yellow coloured urine. No H/o Nausea, vomiting, diarrhoea, headache, dizziness. Past History - k/c/o DM and HTN since 5 years. Not a known case of TB, Ast

  THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  27 year old male painter by occupation was brought to causality with chief complaints of pain abdomen . HOPI  Patient was apparently alright 40 days back then he developed pain and burning sensation in the abdomen which is squeezing type and diffuse all over the abdomen relieved after passing stools . Stool - frequency: 3 times a day , Small amounts , non blood , normal in consistency, mucoid ,non foul smelling , non floating and yellow in color  Not associated with fever , vomitings ,headache, burning micturation, SOB , cold&cough, chills and rigors. PAST HISTORY:  Not a know case of  hypertension   ,