99 Vaishnavi pakker

 

 

This is an online E - log book to discuss our patients 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. This E log book also reflects my patient-centered online portfolio and your valuable inputs on the comment box. A 51 year old male resident of Aliya came to our hospital for regular dialysis History of present illness  Patient was apparently asymptomatic 6 months back then he had 1 episode of seizure for which he was admitted in our hospital about 10days where he was incidentally diagnosed with hypertension.After 2 months he developed pedal oedema which increased on walking ,shortness of breath insidious in onset and gradually progressive ,grade 3 . History of orthopnea is present   History Paroxysmal nocturnal d