GULAGATTU PRIYARSHA ROLLNO 52

 A 60 year old man resident of Nalgonda weaver  by occupation came with                            CHIEF COMPLAINTS :   *PEDAL EDEMA from 6 months  *Decreased urinary output since 1 month  *Vomitings since 10 days  *Sob and facial puffiness since 2 days                     HOPI: Patient was apparently asymptomatic 6 months back then his creatinine was 3 mg/dl and was diagnosed with chronic kidney disease. Since 1 month he is complaining of decreased urinary output  C/o vomitings since 10 days,non projectile,food particles as content,non bilious,non blood tinged  C/o SOB since 2 days grade 2 and relieved by taking rest  C/o facial puffiness since 2 days  PAST HISTORY: Patient is known case of Chronic renal failure  :6 months back.  *K/c/o DM since 15 years and on Inj mixtard 20U-x-8U *He is a known case of hypertension for which he is on Amlong 10 mg  K/c/o TB - 2 years back  FAMILY HISTORY: No relevant family history .  *PERSONAL HISTORY :    DIET :mixed  APPETITE:Normal  SLEEP: Inadeq

 45 years old male with Inguino Scrotal swelling since 1year , Pancytopenia secondary to Hyper splenism. 1st June,2023 This is an a 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 problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan The patient/ attender was informed the purpose of the information being acquired. An infor