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60yr old with ckd

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71 yr old male with h/o pyuria since 15days

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 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT.    This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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 diagnosis and treatment plan. A 71yr old male came to opd with chief complaint of  White frothy urine since 15days. History of presenting illness- Patient was asymptomatic 15 days back ,then he developed pyuria since 15days wh...
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pain abdomen secondary to uncontrolled sugars with DKA with ? pancreatitis with AKI on CKD. (CKD secondary to metabolic acidosis ) with HFPEF( EF- 58%) with metabolic acidosis secondary to DKA & CKD with H/o DM-2 , hypothyroidism , CKD 43 year female came with complaints of pain abdomen & vomitings since 1 day HOPI :  Patient was apparently asymptomatic 6 yrs back, then had anasarca , went to hospital in hyderabad & diagnosed to have  hypothyroidism ( started on tab.THYRONORM 50 micrograms)  & also diagnosed as  renal failure & was on TAB.TORSEMIDE 20MG+ SPIRONOLACTONE 50MG & also DM 2 ( started on inj.MIXTARD 6U....X.. .10U & increased doses of MIXTARD to 20U...X...25U since 1 1/2 yr.  Currently patient complaining of pain abdomen which is diffuse , intermittent, dull aching pain associated with vomitings, 2 episodes non bilious , non projectile , food as content .  No H/O fever, cold, cough, loose stools, constipation , malena,...
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