VORIGANTI HARIKA ROLL NO175

 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. 45 year old female patient came to casuality with c/o B/L left leg swelling since 1 and half year and right toe swelling and relieved treatment. Since 1 month she developed B/L upper limb and face along with abdominal distention with decreased urine output since 10 days. She started to experience dyspnea on exertion since 20 days which aggravated to dyspnea at rest since 3 days increased onlying down in supine position. Also C/o non productive cough since 5 days 45 year old female patient came to casuality with c/o B/L left leg swelling since 1 and half year and right toe swelling and relieved treatment. Since 1 month she developed B/L upper limb and face along with abdominal distention with decreased urine output since 10 days. She started to experience dyspnea on exertion since 20 days which aggravated to dyspnea at rest since 3 days

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. This is a case of 58 year old male,agricultural labour by occupation came to OPD with chief complaints of shortness of breath since 15 days worsened 3 days back, facial puffiness since 1 week History of Presenting illness -  Patient was apparently asymptomatic 4 years ago 4 years ago - pt complained of giddiness, went to a local hospital and was diagnosed as Hypertensive, on regular medication since then T. Nicardia 10mg, T. Arkamine 0.1mg sos 2 years back Pt developed B/L pedal edema, progressed gradually to knees, diagnosed with renal failure and initiated dialysis weekly twice Left upper limb swelling, gradually progressing to current size, since 4 months . Swelling in the left chest region, gradually progressing to current size, since 4 months Back pain since 2 months, subsided on medication (T. Ultracet) 7 days back - developed Fac