Y.Rahul

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 input A 60 year old male patient came to casualty with c/o high grade fever since 5 days, Dry cough since 6 days, SOB on exertion since 4 days. C/o constipation since 4 days. C/o burning micturation since 10 days. No c/o decreased urine output. HOPI : Patient was apparently asymptomatic 10 days back, then he had burning micturation,and high grade fever a/w nausea and dry cough, not a/w chills and rigor,he had constipation since 4 days.   PAST HISTORY : Patient is a k/c/o DM since 30 yrs and was on medication DAPAGLIFLOZIN 10 MG OD and TAB. VOGLIBOSE 0.3 MG OD and  on insulin since 2 days MIXTARD as his Sr.C

NSAIDS INDUCED NEPHROPATHY WITH METABOLIC ACIDOSIS WITH CKD WITH HTN(1MONTH). 65 year old male patient came to OPD with  C/o of shortness of breath grade 2 to grade 3 according to a NYHA classification since 15 days C/o bilateral pedal edema(on and off since 2 yrs) and complain of decreased urine output since 2 months  C/o decreased appetite 65 year old male who is farmer by occupation   was apparently asymptomatic 14 years back doing all his routine activities and then he met with an RTA and sustain low back ache for which he was conservatively treated for six days and then discharged which is followed by recurrent back ache for which he took NSAIDS for 10 years in nearby hospital followed by herbal medication . Two years back he noticed bilateral pedal edema and went to local hospital and treated conservatively and then pedal edema is on and off. 2months back he noticed decreased urine output Since 15 days he complain of shortness of breath grade 2 to grade 3 K/c/o Hypertension since