GM Clinical case

This is an online E log book to discuss our patient's de-identificatied health data shared after taking his signed informed consent.  SHORT CASE: 1601006099  A 35-year old gentleman who is a farmer by occupation, resident of Miryalaguda,  came to the hospital with:  Chief complaints of swelling in both the legs since 13 months. History of presenting illness: Patient was apparently asymptomatic 3 years back when he was incidentally diagnosed with raised blood pressure of 200/110mm Hg for which he was put on medication which he took for 4 months but wasn’t compliant and thereafter completely stopped taking them.  Patient started developing bilateral pedal edema since 13 months, insidious in onset, pitting type, extending up until the knee, associated with mild facial puffiness and decreased urine output since one year for which he came to the hospital and was put on maintainence hemodialysis for 10 months now. Patient complains of abdominal distension and swell...

This is an online E log book to discuss our patient's de-identificatied health data shared after taking her signed informed consent.  LONG CASE: 1601006099  A 65 yr old female, resident of narketpally, a house wife, came to the hospital with Chief complaints of - Fever with chills since 8 days.  - Pain abdomen and loose stools since 6 days. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 8 days back, then she developed - Fever, which was sudden in onset, low grade, associated with chills and rigors and relieved on medication. - Pain in abdomen 6 days ago, sudden in onset, continuous, cramping/dull aching type, involving all quadrants and aggravated with food intake. - Associated with 2-3 episodes/day of vomiting which was non bilious, non projectile and watery in consistency. - Multiple episodes of loose stools 6 days back, which was watery and in large volume, no tenesmus, no mucous or blood in stools. - History of burning micturition since 4 days, n...