Case study

 September 21, 2021 "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 patient's clinical problems with collective current best evidence based inputs." September 21, 2021 A 50 year old woman labor by occupation presented to OPD for dialysis  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 6 months back then she had shortness of breath with bilateral pedal edema along with decreased urine output and weakness and back ache then she stopped working . She also suffered from Inadequate sleep and loss of appetite . She took normal medication for 3 months and then consulted hospital in suryapet and khammam and she's sent to Kims for further treatment . Currently she's on dialysis from the past 3 month

 September 10, 2021 "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 patient's clinical problems with collective current best evidence based inputs." September 10, 2021 A 56 year old man driver by occupation presented to OPD with shortness of breath  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 year back , then he had shortness of breath with chest pain 6 months back. He used medication for 3 months and then he discontinued later. PAST HISTORY  He was diagnosed to be hypertensive and diabetic 1 year back.  He's on regular medication T.Glimi 500mg for diabetes and no regular medication for hypertension. PERSONAL HISTORY  Appetite is normal and on mixed diet with regular Bowel and bladder move