Internship Medicine Posting
intern log Hello everyone, I’m a medical intern and recently started my medicine posting . This blog is to share my experience and cases i came across during this period. CASE A 75 year old male patient came with the chief complaint of pedal edema and decreased urine output since 4 days. HOPI: Patient was apparently asymptomatic 4 days back , then developed bilateral pedal edema , pitting type, extending upto knees . He had decreased urine output associated with burning micturition ( on and off) . History of fever associated with chills and rigor 2 days back which subsided on medication. No history of chest pain , palpitations , shortness of breath on exertion , jaundice , loss of appetite , fatigability. No history of hesitancy , frequency or urgency of micturition. PAST HISTORY : History of similar complaints 4 months back for which he got treated by local doctor. Known case of CKD Known case of hypertension since 20 years and on regular medication . ( deta