General medicine case

  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. A 55 year old male patient presented to the opd on 8-11-21 with chief complaints of bilateral pedal edema since 10 days ,shortness of breath since 4 days , facial puffiness  and decreased appetite since 2 days . HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 3 years back and then he developed right sided hemiparesis and was diagnosed with CVA and was on antiplatelets. 2 years back he was also diagnosed with diabetes and hypertension. Patient has pedal edema up to knee and sob since 1&1/2 hr and was diagnosed as ckd and he is on Medication. In our hospital he was admitted on 8 November. After 5 dia

 1. Anatomical and etiologic localization of hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue fever clinical features and complications. 4. Cushing syndrome 5. Mandibular advancement device 6. Cardiogenic pulmonary edema  7. Rheumatoid arthritis  8. Leptospirosis  9. Heart failure  10. Ascites  11. Pyrexia of unknown origin  12. Drug induced liver injury  13. Evaluation of low back ache  14. Renal artery stenosis  15. Acute kidney injury  16. Oral hypoglycemic agent  17. Microvascular and macrovascular complications of diabetes.  18. Lights criteria  19. Metabolic acidosis  20. Iron deficiency anemia