Exam

 A 58yr old male presented to casualty complaining of Shortness of breath grade 4 since 4-5 days worsening since 2 hours  Decreased urine output since 4-5 days  Pedal oedema on and off since 6 months  Now subsided ( outside medications )  He was apparently alright 8 years back developed pedal oedema and shortness of breath and was taken local hospital and was diagnosed to be diabetic and hypertensive and chronic kidney disease with baseline creatinine of 2.5mg/dl  He had recurrent episodes of sob and was admitted 1/2 times and was managed symptomatically  Since 10-12 days he developed fevers of high grade intermittent type not associated with chills, a/w cough with expectoration, scanty ( occasionally)  Decreased urine output since 4-5 days, no history of lower urinary tract symptoms ( urgency, hesitation, frequency, post voi dal residue )  And was also diagnosed with peri anal abscess/pilonidal sinus and was referred to our hospital for further management  On admission  Patient consci

  This is online E-blog, to discuss our patient de-identified health data shared after taking her 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 the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio.  A 64yr old male presented to casualty with generalised oedema, decreased urine output, Shortness of breath since 10 days  He was apparently alright 4 years back, had  history of pain abdomen and abdomen tightness and was brought to hospital, diagnosed with renal calculi and underwent PCN in our hospital and was discharged in 3-4 days  He was diagnosed to be diabetic and hypertensive 2 years back and on irregular medication  He had another admission around November of 2020 on being unresponsive and was in ICU for 4-5 days diagnosed to be hypoglycaemic and on OHA’