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GEN MED E-log Aug-06

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 E-LOG GENERAL MEDICINE Hi, This is Vaishnavi, a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 66 YEAR OLD WITH END STAGE RENAL DISEASE Chief complaints: A 66 year old male hailed from suryapet presented to the OPD with chief complaints of: Bilateral pedal edema since 3 months.                          SOB since 3 months.                                              Puffiness of face.                                                        Body aches HOPI: Patients was apparently asymptomatic 12 years ago . He developed chest pain and was diagnosed with IHD: S/P CABG was done. At the same time he was diagnosed with hypertension and DM 2 for which he started taking medicine. Then he was fine till 3 months back and started developi