PARDHU ROLL NO 79

    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 problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 38 year old male , civil engineer by profession and resident of West Bengal came to  OPD with chief complaints of :  Abdominal pain since 5years     HISTORY OF PRESENTING ILLNESS: Patient was apparently a

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT Chief complaints: 75 years old male came to OPD with cc of pedal edema since 1month,shortness of breath since 20days,vomitings since 10days  History of present illeness: patient was apparently asymptomatic 1month back Than he developed bilateral pedal edema which is insidious in onset gradual in progression upto the knee and pitting type edema no aggrevating and no relieving factors . Patient also complains of shortness of breath since 20days which is sudden in onset gradual in progression ,aggrevating on doing work, walking and temporarily relived on medication and also he had history of vomitings which is su