General medicine case discussion

GENERAL MEDICINE E LOG BOOK    34 YEAR  OLD MALE MASON BY OCCUPATION CAME TO THE OPD WITH C/O Blurring of vision RE greater than LE since 3 yrs not associated with headache ,nausea , vomiting Patient was apparently assymptomatic 3 yrs back ,while he was doing his work complained of giddiness and fell( black outs)non postural,not associated with nausea, vomitings,vertigo,tinnitus,earfull ness ,he was taken to a local hospital and was diagnosed with HIGH BLOOD PRESSURE  ( used medication , unknown) for over 2  1/2 yrs  C/O slurring of speech since 1 year ( progressive)  C/O body pains since 1 year  H/O giddiness 1 week back taken to local hospital ,was on medication ( unknown)  No C/O chest pain , palpitations, shortness of breath ,pedal edema  K/C/O HTN since 3 yrs (on past atenolol 50mg ,nicardia 10 mg,telma 40 mg) Not a K/C/O DM,ASTHMA, EPILEPSY,TB He is alcoholic (90ml /day)and smoker ( 2 per day)since 10 yrs  No significant family history  Vitals on admission: BP: 270/140 mm hg   gi

GENERAL MEDICINE E LOG BOOK   This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A CASE DISCUSSION ON CHRONIC LIVER FAILURE AND KIDNEY INJURY I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. Following is the view of my case : CASE PRESENTATION: A 40 yr old male patient came to the casualty with