GENERAL MEDICINE CASE DISCUSSION
SUPRIYA GAGIREDDY 42 Hi,I am supriya 5th sem medical student.This is an online elog book to discuss our patients 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 problems with collective current best evidence based inputs.This E-log book reflects my patient centered online learning portfolio. Date of admission : 27/07/2022 CASE A 46 year old male patient, farmer by occupation, resident of nalgonda came with chief complaints of 1. Shortness of breath since 6years 2.Cough since 4years which is on and off 3. Pedal oedema and facial puffiness since 3years. 4. Abdominal distension since 3years. 5. Hard stools since 10 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6years ago. Then he developed shortness of breath which was initially grade 1 and gradually progre