1801006139 - long case
This is 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 55 year old male who is a resident of Miryalaguda and vegetable vendor by occupation presented to the General Medicine O.P.D with chief complaints of Shortness of Breath 20 days ago Swelling of both lower limbs 10 days ago History of Presenting Illness: Patient was apparently asymptomatic 20 days back then he developed shortness of breath which was insidious in onset which was initially on exertion, now progressed to symptoms even while rest (NYHA GRADE-4). P