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 35 years  male patient ,labour by occupation came to the casualty  with shortness of breath and pedal edema since 10 months. History of present illness:-  - Patient was apparently asymptomatic 3 yrs back ,then he went to local hostpital due to some illness . -There he came to know that he has high blood pressure and he taken medication for high blood pressure. -Patient still using medication for high BP. -As the patient using medication for BP ,he developed swelling in legs(edema )  , shortness

 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. Date of examination :-   17/8/2021     A 58yr old male presented to OPD with chief complaints of decreased urine output, swelling in the legs,shortness of breath since 5 months. History of present illness:- Patient was apparently asymptomatic 5 months ago then he had developed pedal edema and decreased urineoutput. *He also complaints of shortness of breath. History of past illness :- *pedal edema since 10 years. *Hypertension since 5 months.  * Has history of blood transfusion. *Not a known cas