Case ( 2) 64 yr old woman with dry cough(6yrs), SOB (3days),decreaed urine output(3days)
" This is an 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 inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 64year old woman, who is a farmer by occupation, presented to the hospital with- • dry cough since 6 years • SOB since 3 days • decreased urinary output since 3 days. Date of admission - 2pm, 16/08/21. HISTORY OF PRESENT ILLNESS • PT was apparently a symptomatic 6 years back. • PT started getting intermittent cough since then. • She wrongly self-diagnosed herself with Tuberculosis and started using her husband's TB medication on SOS basis. • The patient also t