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A 69 Yr old male came to hospital for regular dialysis

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This is an e-log depicting patient's de identified data centred approach for learning medicine. This log has been taken after taking concert from patient and his family.  Here we discuss about patient's problems with a series of inputs with an aim to solve  69 Yr old male came admitted in hospital for regular dialysis  Chief complaints : Facial puffiness,pedal edema, shortness of breath History of present illness : Patient was apparently asymptomatic 2 yrs back,then he suddenly developed fever,generalised weakness for which he visited the local hospital . After examination and investigations done.Patient was diagnosed with Hypertension and renal failure and referred to another hospital in Hyderabad  There he was treated with medications and patient  was normal for an year and continued his daily activities . After 1yr patient stopped medication and continued alcohol and toddy.  Then he developed symptoms of fever, severe facial edema,pedal edema,hypertension, hypertension, shor