Manisha Varma

  This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients 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 input. Case: An 50 year old male patient , granite cutter  by  occupation came to the casualty with the Chief complaint:   shortness of breath, generalized body swelling, chest pain, body pain, cough since one week. History of present illness: Patient was apparently asymptomatic 3 months  back then he developed shortness of breath, swelling, chest pain, body pain and burning micturation. He was admitted in a nearby hospital and was diagnosed with polycystic kidney disease and was under medication. Since 1 week he again developed all the symptoms and was admitted here. Personal history: Diet: mixed Appetite: Inadequate Sleep: ade