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Welcome and greetings to every one who are visiting my blog. This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 45year old male came to the opd with the chief complaints of loin pain, decreased urine output and pedal edema since 3days and fever and vomitings since 7days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 7days back the he had fever associated with chills,nauseaand vomitings.Fever was intermittent .Patient had loin pain on both sides and bilateral pedal edema extended upto knee,sob with mild exertion. HISTORY OF PAST ILLNESS: Patient is a known case of tuberculosis 3yrs back for which he took treatment for 6months...