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65yrs old male patient came to casually with c/o shortness of breath and pedal edema

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A 65 yr old male was brought to casualty with c/o SOB since 5 days, pedal edema since 20 days.   Patient was apparently asymptomatic 5 years back - was diagnosed with hypertension and diabetes when he visited a local hospital for fever. 6 to 7 months back - He started to experience Dyspnea, which was sudden onset, progressive. He also complained of orthopnea. He was diagnosed with CAD and he underwent at CAG on 19/10/2021 which reveled single vessel disease - LAD territory. The patient also underwent renal angiogram and and was found to have bilateral renal artery stenosis with 90% of Left renal artery to be stenosed and was advised renal artery stenting. He also had OM3 70% stenosis, proximal LAD 50 %, right renal artery 50%, left renal artery 90% stenosis.  PTCA with OM2 and PTRA to left renal artery was done on 12/11/21. Since 15 days he has SOB. patient presented with SOB grade 3-4 and pedal edema since 20 days. Abdominal distension present.  Patient was chronic alcoholic and
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75 yrs old female patient came with complaints of chest pain associated with shortness of breath and pedal edema

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 GENERAL MEDICINE CASE "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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 75 yrs old female patient came with complaints of chest pain associated with shortness of breath and pedal edema Patient was apparently asymptomatic 4 days back and then developed chest pain which is diffuse,non radiating associated with shortness of breath( grade2-3) associated with wheeze and complaints ofpedal edema which is bilateral and pitting type. No H/o Abdominal distension and no H/o decreased urine output. Past history:- not a known case of
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85 yrs old female came to casuality with complaints of weakness of right upper and lower limbs and deviation of mouth to left side and right hemineglect

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   GENERAL MEDICINE CASE "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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome 85 yrs old female came to casuality with complaints of weakness of right upper limb and lower limb and deviation of mouth to left side and right hemineglect Patient was apparently asymptomatic 2 days back and developed sudden onset of weakness of right upper limb and lower limb since yesterday afternoon with deviation of mouth to the left side since yesterday afternoon with right hemineglect+. No history of seizures ,loss of consciousness and GCS on a
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75 yrs old male came to casuality with c/o SOB on exertion and cough

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 GENERAL MEDICINE CASE "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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome 75yrs old Male came to casuality with c/o SOB On exertion since 1 month, aggravating since 7 days. C/o cough with expectoration since 1 month C/o pedal edema since 7 days HOPI: Pt was apparently asymptomatic 1 month back then he developed SOB on exertion( Grade 3) associated with cough with expectoration since 1 month.Pedal edema since 7 days, gradually progressive. No h/o decreased urine output, abdominal distention No h/o fever , vomitings, diarrhoea.
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