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Butti Sonali General medicine Case presentation 2

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  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 28 year old male patient who is a business man by occupation came with the chief complaint of  Sudden weight loss Decreased urine output  Easy fatigue and tiredness No history of headache, vomiting and fever. History of present illness: Patient complains history of decreased appatite and generalized itching later he visited a hospital where he diagnosed with renal failure and hypertension.he had undergone 14 sessions of hemodialysis. He is currently undergoing hemodialysis. History of past illness: He is a known case of hypertension H/O decreased urine output  H/O shortness of breath  No H/O pedal edema