THEJASWI JELLA ROLL NO 59

 July 27/7/2022 A 64 yr old male ,resident of chotuppal came with chief complaints of pain in the right loin, vomiting and burning micturition since one month HOPI Patient was apparently asymptomatic 15 yrs back.Then he developed pain in the right loin and was diagnosed with renal calculi(bladder) and was operated and then 3 yrs later again he developed bilateral loin pain and was diagnosed with bilateral renal calculi (ureters) and was operated with a gap of one month. Then 3 yrs later he developed a midline swelling approx 3 cm below umbilicus and diagnosed with abdominal hernia and a mesh was placed. Then 1 yr later he developed abdominal pain and endoscopy was done and diagnosed with ulcer and was managed conservatively During this he was diagnosed with diabetes and hypertension Then 2 yrs back he developed generalized weakness and went to hospital and was told that haemoglobin (6 g/dl)was low and was given iron injections.For which he went to Hyderabad orange hospitals and because

July 20 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 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 55 year old male from Narketpally , farmer by occupation came to medicine opd on 15th July with CHIEF COMPLIANT OF  Weakness and vomitings  for 3days since 12 july. Decrease urine output and yellow in