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A 60 yr old MAN WITH CHRONIC RENAL FAILURE WITH BLINDNESS UNDER EVALUATION .

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A 60 yr old male , driver by occupation , came with complaints of 1) Facial puffiness and vomitings since 5 days  2) B/l pedal edema ( pitting ) since 4 days HOPI :-  0He was apparently asymptomatic 10 yrs ago , then he developed blurring of vision for which he went local hospital and was diagnosed  with Hypertension and diabetes mellitus type 2 and started on treatment (irregular). 3 MONTHS BACK ,he complaints of vomitings -5 episodes ( food particles as content) ,non bilious ,non projectile, so he went to a local hospital in khammam and was told to have kidney infection and took medication for 1 week . AT PRESENT , he complaints of increased urine Nocturia since 6 days , Facial puffiness since 5 days and  B/l pedal edema (pitting type) since 4 days Loss of appetite+ Dull with slow speech since 1 week SOB (grade2)  ,with cough on walking for a short while. PAST HISTORY:-   K/c/o T2DM and HTN since 10 years on irregular medication. Visual acuity-- Right eye -- complete blind Left eye--
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39M WITH ALTERED SENSORIUM AND B/L LOWER LIMB PARAPLEGIA WITH INVOLUNTARY MOVEMENTS OF UPPER LIMBS WITH BED SORES.

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A 39 Yr old male , electrician by occupation, with no significant medical history since childhood. Chief complaints:- **C/o decreased responsiveness since 2 days **Not eating since 2 days  **Decreased speech since 2 days--completely not talking since today morning. Past illness:- **8 months ago -- c/o low back ache , pain abdomen -- was told to have renal stones , meatal stenosis--underwent urethral dilatation in July 2021. ** August last week , 2021 -- c/o left lower limb weakness, slow gradually progressed to right LL -- B/L Paraplegia -- MRI was done --? Potts spine Used ATT for 15 days and stopped , due to nausea and loss of appetite, patient was bedridden since, then , used unani medication. **H.D was adviced 2 months ago - but didn't get it done due to fear of death ( among relatives deaths on H.D+) ** Since September 2021--Bed sores developed,  1 daily dressing done ,but patient was active and talks to everyone. **C/o low grade fever since 10 days  ,nausea , shivering+. No h
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A 60 YEAR OLD MALE WITH IATROGENIC CUSHING SYNDROME

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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.  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 is welcome."      I've 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 a diagnosis and treatment plan. A 60 year old man, farmer by occupation, residing at Nalgonda presented to the casualty at 2pm with the  CHIEF COMPLAINTS of  Dyspnea at rest since 10 days Cough since 1
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A 64 YR OLD MALE WITH CHOLESTATIC HEPATITIS

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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.  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 is welcome."      I've 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 a diagnosis and treatment plan.   CASE:- HISTORY OF PRESENT ILLNESS:- A 64 year old man resident of bengal, is a farmer by occupation came with the complaints of  1) Yellowish discolortion of eyes  sinc
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