genaral medicine case 2
This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. A 60 old male patient presents to opd with complaints of swelling from below waist and has got pain in upper back and lower back and fatigue. History of present illness: Patient was apparently asymptomatic 3 months back and had pedal edema and has gradual onset and slow progressive and shortness of breath on exertion and decreased urine output. History of past illness: Patient was admitted to opd with a condition of kidney failure with nausea and vomiting. Patient had a minor surgery near neck . P