69 Likitha Godavarthi

 E-LOG GENERAL MEDICINE Hi, This is Likitha, eighth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 55 year old male with SOB and lower back pain Chief complaints :   A 55 year old male came to opd with SOB and lower back pain , laborer by occupation residing at Halaya • SOB since 10 days  • pain at lower back since 10days  History of present illness : The patient was apparently asymptomatic 1month back , then he developed SOB which is insidious onset , grade 2 (NYHA), gradually progressed orthopnea,  •There’s decreased urine output since 1month - thin stream, poor flow, increased frequency , hesitancy sensations and burning micturition  • Pain at the lower back is dull aching type, non radiating and not associated with micturition  His