46yr/M with pedal edema and SOB.
August 29,2022 This is an 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 patient's 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 the comment box. A 46 yr old male resident of suryapet came to hospital with chief complaints of shortness of breath grade 4 and bilateral pedal edema ( pitting type) since 6 months. History of present illness:— Patient was apparently assymptomatic 6 months back . Then he devoleped bilateral pedal edema till knees which is pitting type associated with facial puffiness. Then he went to the hospital . Then his baseline creatinine was 2, so managed conservatively for 4 months.Then he w