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 NEPHROLOGY ADMISSION A 65 year old male from Akinepalli , farmer by occupation came with the chief complaints of fever since 1 month( on and off) - subsided now , Right lower limb swelling since 1 month. Patient was apparently asymptomatic 7 years ago, then he had loin pain and H/O surgery for renal calculi.  Five years ago patient had chest pain and sweating - diagnosed as MI AND PTCA done in Hyderabad. Then , patient used medications for few days about 1 year, and discontinued later, as he was feeling well. He used to go to farm and do his regular activities at home . Two years ago , patient stopped going to work in view of bilateral knee pain and generalised weakness and stayed at home. He used to have regular checkups every 6 months and had no H/O comorbidities or no usage of NSAIDs. One month ago, patient had H/O unknown bite one evening when he was in farm and then started swelling of Right lower limb associated with pain and redness which gradually progressed. H/O fever ( on an

                                                     ELOG BASED CASE STUDY DATE: 24/08/21  A 45 year old lady came to Medicine OPD on 24/08/21 afternoon with the chief complaints of burning micturition, fever , pain in Right loin since 7 days , pain abdomen since 3 days , loose stools since 2 days  and SOB , nausea since 1 day. Patient was apparently asymptomatic 1 week ago. Then she developed burning micturition one week , not associated with increased frequency of passing urine and urgency. she also developed pain in the right loin. Inspite of the above symptoms, she went for planting mirchi in her farm. Later, after  couple of days she developed fever which was intermittent ( on and off ), relieved on medication. associated with loose stools. she is also complaining of breathlessness since one day( grade 2). Then, she was taken to outside hospital , treated symptomatically, dengue test was done and turned out to be positive and she was referred to our hospital in view of  decreased

This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have 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 21 year old male came to the OPD with complaints of  fever since one week. abdominal pain and distention since one week. loss of appetite since 1 week. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one week ago then he developed fever which was High grade and intermittent and relieved on medication abdominal pain and distention since 1 week -no history of vomiting , loose stools -no history of headache He got treated in a local hospital for 4 days for fever and he was referred to KIMS Narkatpally as his platelet count was low. HISTORY OF PAST ILLNESS Not a known case of Diabetes Mel