GENERAL MEDICINE

GENERAL MEDICINE 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  DECEMBER 2 2021  28 YEARS OLD MALE WITH URAEMIC SEIZURES  CKD ON MHD WITH K/C/O HTN - case history a 28 year old male , sales man in clothing store by occupation ,came to the opd with  cheif complaints of - presented to casualty with h/o seizures since yesterday night h/o seizures 3 episodes around 3 am,7am,11am each episode lasting for 3 -5 minutes associated with unrolling of eyeballs +,frothing from mouth+,no tongue bite -, no involuntary micturation-,no involuntary defecation-,no ictal cry -,followed by post ictal confusion lasting for 15 - 20 minutes  history of presenting illness - patien

GENERAL MEDICINE NEPHROLOGY 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  DECEMBER 2 2021  60 YEARS OLD MALE WITH CKD ON MHD WITH K/C/O HTN - CASE HISTORY A 60 YEAR OLD MALE , FARMER BY OCCUPATION ,CAME TO THE OPD WITH  CHEIF COMPLAINTS OF - PEDAL EDEMA SINCE 6 MONTHS   SHOTNESS OF BREATH SINCE 6 MONTHS  DECRESED URINE OUTPUT SINCE 6 MONTHS  HISTORY OF PRESENTING ILLNESS - PATIENT WAS APPARENTLY ASYMPTOMATIC 6 MONTHS BACK THEN DEVELOPED PEDAL EDEMA ,WHICH WAS GRADUALLY PROGRESSIVE ,A/W DECREASED URINE OUT PUT AND A/W SOB AND THEN CAME TO KIMS FOR FURTHER EVALUATION NO C/O OF CHEST PAIN ,PALPITATION ,GIDDINESS ,FEVER , COLD ,COUGH ,BURNING MICTURATION  PAST