Harshita

This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 64 year old Male patient resident of Nalgonda, who was a RTC Driver 15years back ,came to the opd with chief complaints of : 1) Decreased urine output since 20 days  2) Shortness of breath since 20 days  3) Pedal edema since 20 days. History of presenting illness: •  10 years ago he was working as a driver and owned a vegetable shop , for few days he was not feeling well and he visited local hospital , diagnosed as hypertensive , he is  on T-Aten-Am 50mg. • 5years ago,he got injured to his left palm when he was cutting a tree, he had pain,swelling and blackish discoloration,he was then incidentally diagnosed as diabetic and is on medication Tab.Metformin 500 mg.The injury healed. • 4 years ago he ha