Mekala .Niharika

This is an online e-log book to discuss our patients de-identified health data shared after taking his/her/guardian's 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 patients clinical problems with collective current best evidence based inputs. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaint: A 50 year old female patient came with cheif complaint of loin pain since 1 year and pedal edema since 1 month. HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 1 year back then she developed pain in the loin region since 1 year, which was gradually progressive,non radiating, has no relieving and aggravating factors. Then she developed bilateral pedal edema which is pitting type and extending upto feet  since one 1 month Facial puffiness and  Decreased urine output since

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 Chief complaint:  A 67 years old female with chief complaint of : * Shortness of breath since - 3 months *Pedal edema since -3 months  * Decreased urine output since 3 months.  History of present illness: Patient was apparently asymptomatic 1yr back then she noticed decreased urine output and then she was diagnosed by heart failure and renal failure started medication.   Then 3months back she noticed increased Bilateral pedal edema -pitting type, extending till ankles  shortness of breath - gradually progressing from grade 2 to grade 3  and which is