Pranaya Gaddamedhi

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.   A 60 year old male patient driver by occupation came to causality with chief complaints of Pedal edema since 20 days  , vomitings since 1 week , fever since 10 days , Shortness of breath since 7 days , decreased urine output since 5 days . History of Present Illness    Patient was apparently asymptomatic 15 days back then he developed pedal edema in his lower limb which is pitting type fever which is continuous associated with cough and vomiting  since 5days.vomiting of one episode which is non projectile. Cough with sputum which  is red in colour and reduced after medication. -SOB of grade 4 since 5 day

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.         A 70 year old female patient labourer by occupation came with chief complaints of decreased  urine output since 1 month  , burning micturition since 1 month, urgency of micturition since 1 month , mass per abdomen since 20 days  History of Present Illness : Patient was apparently asymptomatic 1 month back then she noticed decreased urine output , burning micturition , urgency and hesitency of micturition for which she visited local hospital where investigations are done . She denies history of fever , loin pain and hematuria . Past History: She was hysterectomised 18 years back for fibroid uterus .