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55 year old male patient with CKD on MHD

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-centred online learning portfolio and your valuable comments on comment box is welcome.  CASE DETAILS : This is a case of a 55 year old male patient who is a agricultural labourer hails from a rural area of nalgonda district. He came to the OPD with the chief complaints of  Shortness of breath since 1 year Facial puffiness since 1 year HOPI : Patient was apparently asymptomatic 3 years back Then he developed bilateral pedal edema which is of pitting type which was gradually progressive. He went to the local hospital and diagnosed to have Hypertension on i

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