65Yr old female with right eye IMSC( Immature senile cataract)

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 . A 62 Years old male patient came to opd with the chief complaint of :-  Routine follow up for renal failure On haemodialysis • History of present illness :-  Patient was apparently asymptomatic 10 yrs back then he had developed fever , difficulty in having food and was taken to hospital and incidentally found to have Diabetes mellitus And started on conservative management  3yrs back Pedal edema , facial puffiness And was not treated for it  2 yrs back Taken to local RMP And was diagnosed to have renal failure Used conservative medication but was not controlled  15 days back Decrease appetite , vomiting nau

  This is an online e log 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio.  • Chief Complaint :- A 67 years old female came to OPD with chief complaints of -pedal edema since - 3months. -Shortness of breath since - 3 months - Decreased urine output since 3 months.  • History of present illness :- Patient was apparently asymptomatic 1yr back then she noticed decreased  urine output and was diagnosed to have  heart failure and renal  failure and started on conservative management.  Then 3months back she noticed increased Bilateral pedal edema -pitting type, extending till ankles .  shortness of breath - grade 3 insidious