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63/M with CKD on MHD

MEDICINE CASE DISCUSSION This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. CASE SCENARIO: A 63 year old male came for dialysis HISTORY OF PRESENT ILLNESS: Patient was apparently normal 3 months ago, then he had c/o dribbling of urine, swelling of arms and legs, facial puffiness, nausea, vomiting, constipation and abdominal discomfort for which he went to a hospital in khamman where investigations were done.  1/9/2021 RBS: 215 mg/dl Blood urea: 109  serum creatinine: 5.3 Uric acid: 8.9 albumin: 3.2 CUE: sugar ++ He was advised adm
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45 F with DKA (resolved) K/c/o DM- II/HTN/ CKD on HD with Diabetic Nephropathy with hypertensive retinopathy with anemia secondary to ? Iron deficiency

MEDICINE CASE DISCUSSION This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. CASE SCENARIO: A 45 yr old female came to casuality in altered sensorium since 3 am today.  HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 20 years back diagnosed as ? DM - I and started on Inj. Mixtard. In the month of APRIL:  Patient went to the hospital with complaints of swelling of feet since 1 month and SOB on exertion since 1 month. She also had Increased frequency of micturition at night (Sr. Cr- 3.6 to 4.2, Hb- 8.5) She was on I
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50/F AKI on CKD, Diabetic foot, k/c/o DM type 2 and HTN since 10 yrs

MEDICINE CASE DISCUSSION This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. CASE SCENARIO:   A 50 year old female came to the casualty in hypoactive state. On presentation Patient was conscious with small quantity of froth from mouth and uprolling of eyes present. Vitals were stable, GRBS -42 mg/ dl, immediate 25% dextrose transfusion was done and sensorium improved.  After 25% dextrose transfusion, her GRBS was 150mg/dl.  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back, then she developed blebs (? nec
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40/M with Community acquired pneumonia

MEDICINE CASE DISCUSSION This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. CASE SCENARIO:  40 yr old male, post office employee, came to the casuality with complaints of Fever since 10 days  Dry Cough since 6 days  Loose stools since 6 days  Burning Micturition since 6 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 7 days back, then he had Fever which was low grade, intermittent, not associated with chills and rigor, relieved on medication.  Dry cough since 3 days w/o diurnal variation.  Loose stools (10-12
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