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A 65 yr old male patient with swelling on the both the legs and difficulty in breathing ( short case)

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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. Chief complaint 65years old male resident of nagarjuna sagar came to opd with chief complaint of bilateral pedal edema and SOB History of Present Illness: -Patient was apparently asymptomatic 10years back, then he met with an accident following which he started using NSAIDS following which he developed heart failure.  -H/o 1 episode of tonic seizures at night 5years back (phenytoin 100mg/BD ) bilateral pedal edema since 4years , pitting type, aggrevated on standing and relieved on l

A 50 yrs old male patient with abdominal pain (Long Case)

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50 year old male patient with abdominal pain. This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  Date of admission: 16-01-2023. Cheif complaint: A 50 year old male, farmer by occupation came to the opd with the chief complaints of abdominal pain since 1 month History of present illness:- Patient was apparently asymptomatic 1 month back, then he developed abdominal pain in epigastric region and Right hypochondric region ,after consumption of food associated with bloating sensation since 1 yr and also associated chest pain