General medicine case

August 09, 2021 This is online e log 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 yo solve those patients clinical problems with collective current  best evidence based inputs                     Date of admission : 05-08-2021 A 50 years old man presented to the OPD with chief complaints of shortness of breath, and swelling of both the legs from past one month. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1 month back. Then he complained of bilateral pedal edema which was gradually progressive pitting type. He also complained of shortness of breath and decreased urine output. Then they went to nearest medical care and diagnosed with kidney problem for which he advised to undergo dialysis. 5 sessions of dialysis have been done till 23-07-2021. 5 days back patient