General medicine

  Hi, I am Niteesh Gangina (roll no :81)3rd semester medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. 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.  I've 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

  Hi, I am Niteesh Gangina (roll no :81)3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. Chief complaints  A 52 yrs Old male    patient farmer by occupation resident of suryapet came to old with complaint of vomiting on and off from 4 months reduced appetite bilateral pedal oedema since 4 months burning micturation from 4 months  Pt was apparently asymptomatic 4 months back then developed vomiting 6-8 episodes a day  History of present illness Bilateral pedal odema pitting type gradually progressive  Decreased appetite  No history of hematuria fever and dyspnonea History of past illness Know case of diabetes mellitus hypertension ckd  Medications not know Personal history  Occupation daily labourer  Diet:mixed Bowels irregular Appetite decreased  Micturation irregular Sleep:normal No known allergies  Habits:alcohol taken regularly  FAMILY HISTORY   Diabetes