Case of patient with lower limb cellulitis

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 input. CHEIF COMPLAINTS: Chest pain since 3 months  Bloating sensation since 1 year Incomplete evacuation of stool since 3 years  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 3 years ago then he started expressing incomplete passage of stools. He passes stool 2times a day.no h/o hard stools complaints of lower Abdominal pain at night ,releves spontaneously during day associated with bloating sensation since 1 year and chest pain burning type (retrosternal) no radiation of pain,No sob no h/o pain on defication/ staining on passing stools /blood/mucus .No history of malabsorption or weight loss. PAS

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 input 65 years old female patient who is from nalgonda labor by occupation presented to OPD on 12-01-23 CHEIF COMPLAINTS: Patient complaints ofa bdominal pain since 4days and a ssociated with nausea and vomiting since 2days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back then she developed pedal edema, facial puffiness, decreased urine output ,shortness of breath and difficulty in moving lower limbs 2 years back and was taken to a private hospital and diagnosed to have hypokalemic  and found to have raised creatinine levels         1 year back patient started walking with support and dec