61. P. Nikhila

  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. Date of admission: 11th August 2021 A 60 year old male presented to the OPD with chief complaints of pain in the lower back, burning sensation during urination since 15 days. History of present illness: Patient was apparently asymptomatic 1 week back then he had insidious onset of fever , low grade and intermittent not associated with chills and rigors. He complains of lower back pain and swelling in the limbs. The patient's wife used home remedies to treat swellings in the limb. Since 1 month, the patient again developed pedal edema and facial puffiness. The patient has been undergoing dialysi

 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.    Date of admission: 09-08-2021 A 56- year- old woman presented to the OPD with chief complaints of fever, decreased urine output since 3 months and  breathlessness from the past 3 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 5 years back, then had fever which was insidious and associated with chills, vomiting and pain in the loin for which she went to outside hospital where she was diagnosed with kidney disease, from then she was on medication. 7 months back she stopped medication for 1 month, then after that she developed shortness of breath for which she went to a local