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final short case

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18 th January 2023 65 years old female patient who is from nalgonda labourer by occupation presented to OPD on 12-01-23 CHEIF COMPLAINTS: Abdominal pain since 2days  Associated with nausea and vomiting since 1day HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back then she developed pedal edema, facial puffiness, decreased urine output short ness of breath grade 1 and difficulty in moving lower limbs 2 years back and was taken to a private hospital and diagnosed to have hypokalemic (k+2.2) and found to have raised creatinine levels  1 year back patient started walking with support and decreased pedal edema and facial puffiness and decreased urine output and diagnosed with CKD (  increased creatinine, shrunken kidney,anemia)  2months back pain abdomen, decreased appetite, burning micturition and cloudy urine for 6 days subsided on medication.  2days back pain abdomen - squeezing type not associated with loose stools  Vomiting,nausea and pain abdomen Non bilious
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final long case

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70 years old male come with a complaints of bilateral pedal edema since 1 month  decreased urine output and SOB since 25 says      This is an online e-log book to discuss our imppatient's 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 patient's clinical problems with collective current best evidence based inputs. Date of admission -24/12/22   Cheif complaint 70 years old male come to OPD with a complaints of bilateral pedal edema since 1 month Decreased urine output since 25 days SOB since 25 days History of present illness Patient was apparently asymptomatic 1 month back than he developed bilateral pedal edema from 1month  up to knee joint pitting type Decreased urine output since 25 days  Associated with SOB grade 2 initially it was grade 1 progresing into grade 2 Associated with los
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pre final examination 2022

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