60 year old male with complaints of vomitings and facial puffiness
GENERAL MEDICINE CASE "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 CASE: A 60 yr old male , resident of suryapet, driver by occupation , came with complaints of 1) Facial puffiness and vomitings since 5 days 2) B/l pedal edema ( pitting ) since 4 days HISTORY OF PRESENT ILLNESS:- He was apparently asymptomatic 10 yrs ago , then he developed blurring of vision for which he went local hospital and was diagnosed with Hypertension and diabetes mellitus type 2 and started on treatment (irregular). 3 MONTHS BACK ,he compla