73 YR OLD WITH DECREASED URINE OUTPUT
This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE: 73 YR Old farmer came with the chief complaints of swelling of the legs and decreased urine since 1month and shortness of breath since 3 days HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 1 month back and then developed decreased urine output which is insidious in onset gradually progressive amber color non foul smelling not associated with pus and blood in the urine and not associated with burning micturition. h/o swelling of legs since 1 month which is insidious in onset and gradually progressive pitting type present in both the legs from foot till ank