32 year old man,electrician by occupation in mumbai came to OPD 4 months back with acute onset of seizures. HOPI: patient was apparently asymptomatic 3 years back and then he developed pain in the loin region for which he went to private hospital in Mumbai and he was diagnosed with bilateral renal caliculi and bilateral stunts were placed. After 4 to 5 months stunts were removed,after 1 week of removing stunt again he started developing pain in the loin region. He was taken to the same hospital and bilateral renal stunts were placed again. 1 year ago he started developing multiple scaly,itchy, hyperpigmented lesions over the trunk,inner thigh and groin. Last year he returned to the hometown near Nalgonda, and started farming. He stopped using his medications few months after he lost his brother due to cardiac arrest. 3months ago he presented with an acute episode of seizures which lasted for 15 minutes. He was then bought to our hospital. He was found to have high crea...
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A 45 year old female with DCMP
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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...
A 58 year old man with CKD
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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...