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40 YEAR OLD MALE WITH SOB

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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 40 YEAR OLD MALE WITH SOB 40 year old male patient,resident of pothunuru came to casualty at night on 25/09/2022 with chief complaints of -Fever since morning  -SOB grade 4 (MMRC) since evening History of present illness- He is farmer by occupation. Patient was apparently asymptomatic 20 years back. Then developped B/L pedal edema(patient says truck tire has passed on his left leg and stone has fallen on his right leg)from then he started developping pedal edema(upto knee,pitting typ