Case history :4
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." Date of examination28/10/2021 A 45yrs male came to OPD with chief complain of shortness of breath, bipedal oedema, facial puffiness. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 months ago then developed shortness of breath,bipedal oedema, facial puffiness. Patient was diagnosed as AKI on CKD and dialysis has initiated. HISTORY OF PAST ILLNESS: Patient has thyroid since 1 yr, diabetis and hypertension since 6 yrs. Not a known case of TTS,Asthama an