65M with Abdominal distension
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 is welcome." A 65yr old male patient, water plant supervisor by occupation came to casualty with Sob since 7 days Abdominal distension since 15 days Pedal edema since 6 months, aggrevated since 7 days. 6 episodes of loose stools since 1 day History of presenting illness patient was apparently asymptomatic 6 months back, then he developed pedal edema (pitting type) which was relieved on elevation. Patient then developed shortness of breath ( on exertion, with orthopnea) sinc