60 F with facial puffiness, pedal edema, b/l knee joints pain
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 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 60 year old female who used to be to a farmer came with the complaints of b/l knee joint pain since 3 years, facial puffiness since 3 months, b/l pedal edema since 1 week History of presenting illness Patient was apparently alright 3 years ago then she developed — b/l knee joint pain since 3 years It is aggravated on walking and standing, relieved on taking medication and taking rest She has been taking medication for pain frequently 3-4 days in a week both oral and injectabl