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Osteoarthritis secondary to oliguria and constipation

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This is an online E-log book to discuss our patient's identified health data shared after taking his/ her guardians signed informed consent.   Here we discuss our individual patient problems through a series of inputs from available Global online community of experts with an aim to solve the patients  clinical problem with current best evidence based input.   This E-log also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment plan. CASE SCENARIO: A 65 year old male presented to the orthopaedic OPD with complaints of inability to climb stairs, pain in knees and ankles oliguria and pain during defecation. COMPLAINTS AND DURATION Chronic back pain since 1 year Pain in the knee joints and along the chin for 1 y
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General medicine first internal

https://drive.google.com/file/d/1eaN9QzEEuzFZ3kCwrVV_A86ooWJRugfY/view?usp=drivesdk
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2nd degree Paralytic lieus

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SCENARIO: A 50 year old female presented to the OPD with SOB and constipation. COMPLAINTS AND DURATION Constipation since 3 days Pain in abdomen Shortness of breath Nausea and vomiting since 3 days Pain in chest since 2 years  HISTORY OF PRESENT ILLNESS Patient apparently asymptomatic 2 months ago, developed shortness of breath, pain in abdomen(right side tenderness and right hypochondriac pain) and constipation.This was followed by 4 episodes of vomiting HISTORY OF PAST ILLNESS Not a K/C/O HTN, DM, asthma, epilepsy Renal caliculi treated conservatively 2 years ago TREATMENT HISTORY No significant treatment history PERSONAL HISTORY Appetite - Normal Bowels- Constipated Micturition -Normal No known allergies No addictions FAMILY HISTORY No significant family history MENSTRUAL HISTORY Hysterectomy done 15 years ago for fibroid bodies PHYSICAL EXAMINATION GENERAL Pallor - Yes Icterus - No  Cyanosis - No Clubbing of finger/toes - No Lymphadenopathy - No Oedema - No Temperature - afebrile 
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Chronic kidney failure - Analgesic Nephropathy

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  This is an online E-log book to discuss our patient's identified health data shared after taking his/ her guardians signed informed consent.   Here we discuss our individual patient problems through a series of inputs from available Global online community of experts with an aim to solve the patients  clinical problem with current best evidence based input.   This E-log also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment plan. CASE SCENARIO: A 50 year old male presented to the OPD with nausea, Facial puffiness, reduced urine output and Pedal edema  COMPLAINTS AND DURATION Weight loss   Pedal edema Decreased urine output Shortness of breath on exertion Facial edema Decreased appetite   HISTORY OF PRE
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