N. RAKSHITHA REDDY ROLLNO 106

 70 yr old male with swelling of both legs and facial puffiness September 20, 2022  September -20 ,2022 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment  Rakshitha Reddy  Roll no 106 A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of  Swelling in both legs since 20-25 days Facial puffiness since 20-25 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work ...

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, arrhy...