ArshewarPavanKumar

 80 yr old male Patient come with the chief complaints of Sob 4 days  Cough 3 days  Fever 4 days  Loose 2 days  Burning micturation 2 days  Patient was apparently symptomatic 1month back  then he developed loose tools and fever for which he was taken to hospital and was treated conservatively. Patient was symptomatically improved after 10 days for the treatment then last 4 days patient developed sob and insidious onset slowly progress to present state fever is intermittent on of associated with loose tools relieved on medications associated with burning micturation loose tools in students 3 to 4 episode for the not bloody watery non smelling and sticky Cough since 3 days productive cough copious sputum which not bloody tinged  nonfrothy  N/k/c/o DM tb cad htn asthma epilepy H/0 surgery for hernia alone 7 years back  Personal history : Appetite normal  Diet mixed  Addiction smoking alcoholic  Bowel and bladder irregular loose stools DECREASED urine output  Family history :  No significa

This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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. This e-log book also reflects my patient centered online learning portfolio and your valuable comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan  H.no. 1701006011  Name A pavan kumar  38 year old female came to casualty with chief complaints of pain abdomen flanks radiating to front since 4 days fever since four days lower backache since 4 da

 DURING UNIT DAYS  CASE 1  https://08arshewarpavankumar.blogspot.com/2022/09/20-yr-female-with-bl-pedal-edema.html Presentation for this case  https://youtu.be/GFASTNR78Ng My orientation around the case  1)What is possible cause of her pedal edema ..??  Renal impairment or low output states (cardiac failure ) or acute tubular atrophy  2)What are the differential diagnosis of the patient ?? Nephrotic syndrome more probably poststreptococcal glomerulonephritis , minimal change disease , LUPUS NEPHRITIS , VASCULITIS, infective endocarditis, libman sach endocarditis , igA nephropathy  3)What is cause of cough and SOB ??  -Due to glomerular injury renal filtration is compromised and there is accumulation of fluid in third space leading to ascitis pleural effusion and pericardial effusion  -Due to pleural and pericardial effusion there is a SOB  4) what is determining  factor to prove the fluid is exudative or transudative .? -SAAG >1.1 indicates high saag transudative fluid which it occu