44. Krithika Deshpande

 A 60 YEAR OLD MALE PATIENT CASE  October 28, 2021  This is an online e log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 21 October 2021 A 60 yr old male who is a farmer by occupation came to the OPD for the dialysis diagnosed as kidney failure 1 1/2 back . He went to local hospital and was diagnosed with renal failure( serum creatinine 3mg/dl CHIEF COMPLAINTS :   patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : • Pedal edema  • Anorexia  • Fever  • Dyspepsia  •  Insomnia  • Serum creatinine levels - increased (2 mg /dl)  • Decreased urine output  Presently on dialysis on MHD  HISTORY OF PAST ILLNESS :  • On dialysis since

 A 74 year old female with fever  September 20,2021 This is an online e log book to discuss our patient de-identified health data shared after taking his /her/ guardians signed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. I have 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, investigation and come up with diagnosis and treatment plan. A 74 year old female patient came with complaints of fever since 4 days ,generalised weakness since 4 days. SOB on exertion since 3 days, which progressed to SOB on rest. There is a history of 2 episodes of vomiting 1 day ago. HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 4 days