Case history 1
This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. A 50 years old male patient presented to the opd with chief complaint of swelling of lower limbs, decreased urine output and shortness of breath since 1 year. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1year ago, then developed pedal edema and shortness of breath. 1 year ago patient had recurrent fever for which he visited the hospital, where he diagnosed as chronic kidney failure and undergone hemodialysis 3 times. Later presented to KIMS for further evaluation. The patient had low grade fever and neck pain. PAST HISTORY Patient had a fracture of right lower limb 6 years ago for which he took local ayurv