E.Latha

 GM Internal assessment Anatomical and etiologic localization for hemiparesis and further management     2.Etiology clinical features management complications of acute pancreatitis. 3.Dengue fever clinical features and complications. 4. Cushing syndrome 6. Cardiogenic pulmonary edema 7. Rheumatoid arthritis 9. Heart failure 10 . Ascites  11. Pyrexia of unknown origin 12. Drug induced liver injury 14. Renal artery stenosis 15. Acute kidney injury 15. acute kidney injury  16. Oral hypoglycemic agents 17. Microvascular and microvascular changes of diabetes. 19. Metabolic acidosis 20 . Iron deficiency anemia.

  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 problem 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 input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. A 60 yr old male patient presented to OPD with chief complaints of  . decreased urine output .shortness of breath .pedal edema H/O present illness Pt was asymptomatic 5 yrs back and then he developed edema and pain in one of the legs ,visited local hospital and took painkillers .one yr back he developed odema in both legs and visited nalgonda hospital and advised scanning .he was referred to NIMS and was diagnosed with chronic kidney disease.he got dialysis 4 timesamd due to transport difficulti