A 50year old male with Shortness of Breath, ascitis, pedal edema and facial puffiness
This is 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 50 year old male who is a shepherd from Keshavapuram came with complaints of Shortness of breast from 6years, cough from 4years and abdominal distension, pedal edema and facial puffiness from 3years History of presenting illness: He was apparently asymptomatic 6 years ago.Then he developed shortness of breath on exertion(running) grade 1 which now progressed to grade 2. He also has cough from 4years which is productive(yellow coloured sputum). He developed abdominal distension, fol