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61 year male with pain in left loin, decreased urine output,fever and constipation

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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 patients 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 comment box is welcome.  A 61 year old male resident of agaram came to the OPD with  chief complaints  of pain in the left loin , decreased urine output,fever and constipation since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had one episode of vomiting followed by fever associated with chills and rigors.Then he had pain in the left loin which is associated with decreased urine output.Then he also developed constipation with diffuse pain in the abdomen.The pain in the left l...
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57 year old male with pain in right loin,frothy urine, fever and decreased appetite.

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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 patients 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 comment box is welcome.  A 57 year old male resident of narketpally came to the OPD with chief complaints of pain in the right loin , froathy urine ,fever and decreased appetite since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had pain in the right loin region which is insidious in onset and gradually progressive not associated with nausea vomithing and loose stools. H/o froathy urine  fever with chills and rigor and decreased appetite since 5 days. Altered sensorium since 4 ...
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1801006111 LONG CASE

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CHIEF COMPLAINT : A 42 year old male patient came to casuality with chief complaints of bilateral lower limb swelling  (left>right) since 15 days,  and shortness of breath since 2 days. HISTORY OF PRESENTING ILLNESS : •Patient was apparently asymptomatic 15 days later he noticed bilateral lower limb swelling which was insidious in onset gradually progressing pitting type ( left more than right ) extending up to the knees. h/o of breathlessness since 2 days which is Grade 2 initially progressed to Grade 3-4 associated with orthopnea & PND. No h/o cough, chest pain. No h/o pain abdomen, vomiting, loose stools. No h/o decreased urine output/ burning micturition and no other complaints. No palpitations No h/o syncopal attacks No h/o wheeze hemoptysis No h/o abdominal distension, fever, weightloss. HISTORY OF PAST ILLNESS : No similar complaints in the past. No h/o DM , HTN ,ASTHMA, CVD, Epilepsy. PERSONAL HISTORY : Diet – Mixed Appetite – Decreased Sleep – Decreased...
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