Sreeja bollu

 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. A 30 years male patient from  Suryapet ,presented to OPD with a complaint of pedal edema and shortness of breath since 1 month. History of present illness:- -Patient was apparently asymtomatic 1 month back . - Patient developed pedal edema which is pitting type and shortness of breath from 1 month . -Patient has abdominal pain and distension from 1 month . -Abdominal pain is relieved by taking medication. -Patient has cough from 20 days. -Patient has fever  with chills from 3 days. Past history:-