Danduprolu Santosh Varma ROLL NO 34

  55 yr old male with chronic kidney disease on maintenance hemodialysis 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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects  my patient-centered online learning portfolio and your valuable inputs on the comment box Chief complaints 55yr old male farmer by occupation came to medicine opd with the chief complaints of - Decreased urine output since 15 days  - bilateral pedal oedema since 1 month  - Irregular bowel ( constipation) since 15 days History of present illness  Patient was apparently asymptomatic 12 years ago then developed  renal disease which was diagnosed with loin pain , after then he went to hospital and diano

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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box" 36 year old male, cement worker by occupation,  came to Medicine OPD with complaints of :  .  Chief complaints -Pain in lower abdomen at right loin region  Since 5 days History of present illness Patient was apparently asymptomatic l year back, then he developed pain in abdomen and went to hospital and diagnosed of post renal caliculi for which he took medical treatment and got relieved. Recently he again came to opd with pain in the right loin region in abdomen since 5 days He