80 year old male with chronic renal failure
This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. 80 year old male patient came to opd with the c/o of shortness of breath History of present illness Patient has developed sudden onset of shortness of breath (grade lV) (he stopped taking bronchodilators 2 days back ) brought to hospital History of past illness No H/O DM No H/O HTN No H/O TB No H/O epilepsy Personal history Married Occupation:weaver Appetite:normal Bowel and bladder movements:regular Allergies-no Micturition- normal Physical examination Pallor-present Pulse rate-117/min BP-220/110 mm/Hg Respiration-36/min Systemic examination CVS-S1 S2 positive Thrills-absent Cardia