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A 64years old male patient barber by occupation came to casuality with chief complaints of shortness of breath and pain in abdomen

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A 64 years old male patient barber by occupation came to casuality with chief complaints of shortness of breath and pain in abdomen  History of presenting illness:: Patient was apparently asymptomatic 1 month back and then he developed shortness of breath incidious onset and gradually progressive  No c/o chest pain,Palpations C/o fever for 3-4days ,high grade, evening rise of temperature associated with chills and rigor Since one month patient complaints of breathlessness (grade 3) insidious in onset gradually progressive aggrevated on walking and no seasonal variation.  Past History:: Decreased urine output since 6 months  c/o pain abdomen on left lumbar region since 1 week  patient is a known case of HTN since 10 years for which he is on medication (olmosetron tab) Not a known case of DM,TB,ASTHMA  Personal history: Apettite-decreased Diet- mixed Bladder- decreased Bowel -abnormal ##Addictions-  Tobacco chewing-stopped 3 yrs back Alchol-stopped 1yr ago Family history:  No significan
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A 75 year old man presented to the OPD with pain swelling and blisters on ankle and leg on left side

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Hello everyone. I am Shruthika, a third year MBBS student This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs CHIEF COMPLAINTS A 75 year old man who is a farmer by occupation from Villamla presented to the OPD with complaints of pain and edema in the right ankle and foot which gradually progresses upward towards the groin. He also complaints of immobility in the foot.  HISTORY OF PRESENTING illness The patient developed the same situation 2 years back when a thorn pricked him on the medial side of his left leg and led to an infection.on visiting a local RMP, he was put on medication and the site was properly cleaned with warm water. He went back to normal after
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