A case of 65 year old male with decrease in urine output and shortness of breath
THIS IS AN ONLINE E LOG BOOK 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 SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." A 65 year old male came to the OPD with the chief complaints of decrease in urine output since 1 week, bilateral Lower limb swelling since 1 week and difficulty in breathing since 3 days , stoppage of urine output since 2 days. Patient was apparently asymptomatic 1 week back then he developed decrease in urine output since 1 week and then complete stoppage since 2 days , pedal edema since 1 week , shortness of breath since 3 days which is grade 2 . There is a history of bullous lesion on the dorsum of right hand . He also had jerky movements of upper and lower limbs which are asymmetric, arrhythmic a