THEJASWI JELLA ROLL NO 59

 A 65 yr old female from Narketpally labourer by occupation came to the OPD with cheif complaints of Fever since6 days and burning micturition since 6 days HOPI: patient was apparently asymptomatic 6days back then she developed fever which is insidious in onset and intermittent in nature which aggravated during night and relieved on medication associated with generalised weakness and not associated with chills , rigors , cough, cold, headache, night sweat. H/O  burning micturition  No H/O sore throat ,vomitings  since 6days difficulty in passing urine, decreased urination  ,unable to pass urine without strain. PAST HISTORY  Not a k/c/o DM,HTN,TB, EPILEPSY,ASTHMA,CAD 5years back patient had swelling at sacral area progressively increased in size, surgical removal was done. 2 years back patient developed tingling and numbness of  lowerlimbs and used medications and was subsided.weakness of upperlimbs and lowerlimbs gradually progressed. 1year back patien...

  This is an online E log to discuss our patients 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 evidence based inputs. This E log book also reflects my patients-centered  online learning portfolio and your valuable inputs on the comment box is welcome. CASE;  Jella Thejaswi , 8th sem Roll no. 59 A 65 yr old male from Nalgonda farmer by occupation came to the hospital for maintenance dialysis  HOPI: Patient was apparently asymptomatic 20 years back then he noticed yellowish discolouration over sclera and urine and decreased urine output then he went to a hospital.Investigations are done and  diagnosed as Jaundice. At the same time he also diagnosed as right kidney damage. so that 3 episodes of dialysis was done in a we...