General medicine case 4
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. A 60 year old female who is daily wage labourer by occupation came with the chief complaint of 1. Lower back pain 2. Facial puffiness 3. Pedal edema History of present illness : - Patient was apparently asymptomatic 4 months back then she developed fever and backache for which she was treated symptomatically. She used to take analgesics for a temporary relief from the backache. - Later when the conditions repeated again, she was taken to a local hospital where she was diagnosed with kidney failure. - She is currently undergoing dialysis twice a week. History of past illness : - The patient is a known cas