Jakkoju Bhavani

THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- Chest pain in epigastric region since 1week. Pedal edema since 1week . Cough with expectoration since 1week .(mucoid consistency,non blood stained, non foul smelling) Decreased urine output since 1week.  HISTORY OF PRESENT ILLNESS :- Daily routine of the patient : The patient used to get up at around 7/8 in the morning, used to have breakfast  (Rice) and then used to go to drive auto. He then returns home in the evening and then used to consume alcohol daily before eating which was around 180ml and then sleep at around midnight at around 1/2.  His intake of alcohol has increased to 750 ml

THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT    CHEIF COMPLAINTS :- Pedal edema,decreased urine output  HISTORY OF PRESENT ILLNESS:- HISTORY OF PAST ILLNESS:- Chronic kidney disease on maintenance hemodialysis. Diabetes mellitus since 15 years.  Hypertension since 6 years.  PERSONAL HISTORY:- Appetite- normal  Diet- nonveg Bowels- regular  Micturition- normal  No known allergies  No Addictions FAMILY HISTORY :- No significant family history.  GENERAL EXAMINATION:- No pallor, cyanosis, lymphadenopathy, icterus, clubbing of fingers and toes, malnutrition.  Oedema of feet-(+ve) VITALS:- Temp-98°c/f Pulse rate- 100/min Respiratory rate- 18/min BP-150/100mm