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A case of 48 yr old male with UNCONTROLLED SUGARs n FEVER UNDER EVALUATION

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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 patient's 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 the comment box A 48 yr old male  welder by occupation came with complaints of  FEVER since 4 days C/O chest pain since 5 days  Pt was apparently asympyomatic 4 days back then developed fever ,intermittent,associated with chills and rigors ,no burning micturition Chest pain on n off ,non radiating Pt was k/C/o DM since 4 yrs on inj Mixtard Pt was havi g complaints of weight loss, fever 4 yrs ago and diagnosed with pulmonary kochs and used ATT for 6 months After using ATT for 2 months pt had 1 episod
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medicine case study

Present condition  The patient..  falls frequently to the left. Her left foot and hand started to worsen. She has  Rashes on face around 2 to 4 episodes per year . Developed swelling, hair loss and fatigue. She has left jaw pain radiating to the face. She has dyspnea, oliguria .develops swelling when ingesting most of the foods, or smoke.Finds herself to be slim morning and appears to be a pregnant in the noon.  Develops weakness on exertion. Craves for salt . Ingests 2-4 tbs of salt when she feels sick.  EVALUATION OF THE SYMPTOMS: Swelling and breathing difficulties: -swelling which is the main complaint can be due to her having g6pd deficiency which causes hemolysis n in turn causes congestive heart failure nd shortness of breath. She might have developed kidney failure leading to the swelling due to the oxidative stress...g6pd is an enzyme that catalyzes the rate limiting step in penrose phosphate pathway n produces NADPH which in turn produces glutathione that prevents oxidative s
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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 patient's clinical problems with collective current best evidence based inputs.  This E log book reflects my patient-centered online learning portfolio and your inputs on the comment box is welcomed A 60 yr old man ,driver by occupation diagnosed with diabetes 15 yrs back came with chief complaints of Pedal oedema since 15 days Sob since 5 days Decreased urine output since 3 days Fever since 5 days History of presenting illness Patient was apparently asymptomatic 15 days back ,then developed pedal oedema upto ankle ,which is pitting type, shortness of breath since 5 days  which is grade 4, Fever since 5 days ,which is continous,associated with vomiting n cough Vomiting of one ep
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