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A 60 year old male, who is a resident of Nalgonda ,farmer by occupation

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N. Lavanya   roll 93    A 60 year  old male, who is a resident of Nalgonda ,farmer by occupation       This is an a online e log book to discuss our  patient de-identified health data shared after taking  his / her / guardians signed informed consent. Here  we discuss our individual patients problems  through series of inputs from available global  online community of experts with an aim to solve    those patients clinical problem with collective  current best evident based input This E blog also reflects my patient centered online  learning portfolio and your valuable inputs on the  comment box is welcome. The patient/ attender was informed the purpose of  the information being acquired. An informed  consent was taken from patient/ attender and there    is omission of information that was requested to be omitted A 60 year  old male, who is a resident of Nalgonda ,farmer by occupation came with   Chief complaints -Pedal edema since 3 months -shortness of breath since 20 days - decrease