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A 52 yrs Old male patient farmer by occupation resident of suryapet came to old with complaint of vomiting on and off from 4 months reduced appetite bilateral pedal oedema since 4 months burning micturation from 4 months

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  Hi ,  I am Nithin Maridi (roll no :82) 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. Chief complaints  A 52 yrs Old male  patient farmer by occupation resident of suryapet came to old with complaint of vomiting on and off from 4 months reduced appetite bilateral pedal oedema since 4 months burning micturation from 4 months  Pt was apparently asymptomatic 4 months back then developed vomiting 6-8 episodes a day  History of present illness Bilateral pedal odema pitting type gradually progressive  Decreased appetite  No history of hematuria fever and dyspnonea History of past illness Know case of diabetes mellitus hypertension ckd  Medications not know Personal history  Occupation daily labourer  Diet:mixed Bowels irregular Appetite decreased  Micturation irregular Sleep:normal No known