63.P.Likhitha

 A 53 OLD MALE WITH CKD Date of admission:20/12/21 A 53 yr old male came to the opd with the chief complaint of pedal edema since 3yrs and c/o decreased urine output since 2yrs and k/c/o ckd on MHD since 3yrs . HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic  3yrs  back then he developed pedal edema insidious in onset ,gradually progressive ,pitting edema . C/o decreased urine output   No h/o chest pain ,palpations . Daily routine(before ckd ):The patient wakes up in the morning by 5:30am and does his daily routine and have his breakfast (rice and curry )and goes to field and have his lunch at 1:30/2:00pm (rice and sambar ) and return to home by 4pm and relax and have dinner at 9pm and goes to bed by 10pm . After ckd : The patient wakes up randomly based on his body functioning and does daily routine and have breakfast at 8:30 am (rice and curry )and take rest and have lunch at 1pm (rice and curry ) and stays at home and have dinner at 8:30pm (ric...

 A 19yr OLD MALE WITH DENGUE THROMBOCYTOPENIA  Date of admission:8/12/21 A 19 yr old male came to the opd with the chief complaint of fever since three days and cough (dry) since three days . HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic three days ago and then developed high grade fever associated with chills ,intermittent since 3 days ,associatied with dry cough since 3 days and generalised bodypains since 2days and history of burning micturation since 3days ,nausea ,cold,neck pain ,and constipation since 3days .  HISTORY OF PAST ILLNESS: No h/o vomitings ,loose stools  Not a k/c/o HTN/DM/TB /ASTHMA /CAV/CDA  PERSONAL HISTORY: UnMarried ,normal appetite,non vegetarian,regular bowel movement,micturation -normal ,no known allergies ,addictions occasionally .  FAMILY HISTORY: No history of diabetes, hypertension, heart disease, stroke, asthma, tuberculosis,cancers . General examination: The patient is conscious, coherent, cooperative ...

 A 40 yr old female with HYPOKALEMIA  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. 2/12/21  DATE OF ADMISSION:25/11/21 A 40 yr old female came to the opd with the chief complaint of sudden weakness bilateral upper limb and lower limb. HISTORY OF PRESENT ILLNESS: Daily routine -The lady wakes up mrng by 5:30-6:00am and have tea then she cooks the food and have her breakfast (rice )at 9am and goes to farming works by 10am and have her lunch (rice,dal)by 1or 2 pm and come back home by 6pm in evng and relaxes and makes food for dinner and have dinner at 8pm and goes to bed by 10pm . The patient was apparently asymptomatic 3yrs back and the developed weakne...