Gen Med

15 YEAR OLD MALE WITH ACUTE KIDNEY INJURY.  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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, investigations and come up with diagnosis and treatment plan Presenting complaints : A 15 yr old male ,studying 9 th class came to the casuality with C/O SOB( grade 2 - 3 ) since yesterday ,orthopnea +   HOPI : Pt was apparently

  65 YEAR OLD MALE WITH ANASARCA   65 year old male came to the casuality on at 3:30pm on 8/11/21 with c/o b/l pedal edema since 10 days  c/o shortness of breath since 4   days c/o facial puffiness since 2 days   c/o decreased appetite since 2 days c/o decreased urine output  Patient was  apparently asymptomatic 3 years ago, then he developed Rt sided hemiparesis and was diagnosed with CVA and was on antiplatelets on and off. He was also diagnosed with DM at that time and HTN one year later  Patient has c/o pedal edema ( upto knee, decreasing on rest ) and shortness of breath ( grade II-III ) since 1 1/2 year and was diagnosed with chronic kidney disease 1 1/2 years ago and is on regular medication. No dialysis was done. Managed conservatively. C/o pedal edema since 10 days gradually progressed toward face  (Pitting type) C/o shortness of breath (grade II-III) since 4 days  Facial puffiness since 2 days  A/w loss of appetite and decreased urine output  Not a/w orthopnea, PND  The patie