chandan kumar

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 patient's 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 the comment box" A 60 yr old female came to opd with the  Chief complaints: -Shortness of breath on exertion grade 2-3 MMRC  since 5 days -B/L Pedal edema worsening   since  5 days  -Decreased urine output worsening since 5 days History of presenting illness: Patient was apparently assymptomatic 20 years back , she developed pedal edema and decreased urine output ,shortness of breath   since 1 year   -  Edema B/l pitting type extending from ankle to below knee    -Decreased urine output  and hi