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57 year old male with sob and decreased urine output

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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 decreased urine output since 5 days Pedal edema since 5 days Episode of fainting 3 days back HOPI: patient was apparently asymptotic 5 days back then he developed decreased urine output and ped...

67 year old male with vomiting, facial swelling and thickened tongue

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT."  A 67year old male came to our hospital with chief complaints of vomiting, facial swelling, and thickened tongue. HOPI:  patient was apparently asymptomatic 10 days back then he had episodes of vomiting. The vomited material was watery with food particles. Then he developed facial swelling and thickening of tongue. He went to local doctor with same complaints and received medication. The symptoms were reduced but the episodes of vomiting were recurrent, they did not subside completely. After 5days they came to our hospital with same complaints and got treated on OP basis. Even after treatment the symptoms...