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A 65 yr old man..

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This is online E book to discuss our patients health data shared after taking his guardians informed consent form I have been  given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings investigations and come with a diagnosis and treatment plan. Case scenario: A 65 yr old man came to OPD with chief complaints of backache and pain in knees while climbing stairs CHIEF COMPLAINTS  Chronic back pain Pain in knee joints Bilateral pedal edema Burning micturition and pus in urine  Constipation  HISTORY OF PRESENTING ILLNESS    Patient was apparently asymptomatic 1yr ago and developed chronic back pain  and pain in knee joints since 1yr. Bilateral pedal edema since 1yr(non pitting type) Constipation since 4 months. Stool passage is once in 4 to 5 days. Burning micturition and pus in urine since 2 months History of past illness    He was not a kn