NAVYASRI PABBA ROLLNO-111

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-centered online learning portfolio and your valuable inputs on the comment  CHIEF COMPLAINTS: A 50 year old female came to Medicine department with cheif complaints of  Pedal edema;Shortness of breath and decreased urine output. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 8 months back Important clinical features - After 1 hour of start of dialysis she developed High grade fever; with chills ;shortness of breath;low back pain and neck pain. She had 1 episode of vomiting ; non projectile ;non bilious ; food particles as conte