Soumya Goud

   1. Define Heart failure, Etiology And Clinical features of heart failure? How do we diagnose heartfailure clinically.Physical examination and various modalities used in diasnosis of heart failure Write a brief note of treatment of heart failure 2. Define Cirrhosis of liver. Etiopathogenisis of cirrhosis. Write a brief note on clinical features,diagnosis and treatment of cirrhosis of liver 3.  Elaborate on Clinical features and diagnostic modalities in diagnosis of Renal calculi 5.Diagnosis and Treatment of Dengue Fever 6. Clinical features und Diagnosis Peptic Ulcer Disease, 7. Treatment of Acute Pyelonephritis 8. Treatment of Abdominal Tuberculosis. 9. Etiology and treatment of pneumonia 10. Complications of Dialysis 11. Ascitic Fluid Analysis.  12. Proton pump inhibitors. 13. Aferload reducing agents in heart failure. 14 Treatment of urinary tract infections  5. Differential diagnosis of "Fever with Rash'. 16. Insulin therapy in diabetes mellitus, 17. Antihypertensive dru

  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. CHIEF COMPLAINTS A 35 year old female came to casualty with  Bilateral pedal edema since 20 days, Decreased urinary output since 20 days, shortness of breath, and Facial puffiness. HISTORY OF PRESENTING ILLNES

  32 YEAR OLD MALE WITH CKD ON MHD 32 years old male patient came with chief complaints of shortness of breath and pedal edema since 1 year. History of present illness: Patient was apparently asymptomatic 1 year back then developed: 1)Shortness of breath which is insidious in onset,gradually progressive, NYHA grade 2, aggravated on exertion and relieved with rest. 2)Bilateral pitting type of pedal edema extending upto ankles,aggravated on walking, relieved on lying down. History of decreased urine output.  History of facial puffiness more during daytime. History of jaundice 1 year back.( History of usage of herbal medication for jaundice). No history of chest pain/palpitations. No history of chronic cough/hemoptysis Patient went to NIMS hospital with the above mentioned complaints. His RFT was deranged and renal biopsy showed glomerular basement membrane thickening and focal effacement of visceral epithelial foot processes. Dialysis was initiated from then and he is getting weekly 3 di