final exam short case 1902102072
62 year old male with ckd This is an online e log book to discuss our patient deidentified health data shared after taking his /her or gaurdian signature on informed consent . Here we discuss our patients problem through series of input from available global online community of experts with an aim to solve those patients clinical problems woth collective current best evidence based inputs . This e log book also reflects my patient - centered online learning portfolio and your valuable inputs in comments box. Chief complaint A 62 year old male came with a chief complaint of decreased appetite, nausea, vomiting, pedal edema , decreased urine output ,facial puffiness since 15 days . History of present illness Patient was apparently asymptomatic 10years back then he had fever difficulty in having food he was taken to hospital and found to have diabetes mellitus and was given medication. Patient was asymptomatic 3 yrs back and then developed pedal edema , facial pufiness and taken to