40yr old male with SOB and pedal edema
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 40 yr old male , driver by occupation presented to the opd with the chief complaints of- • SOB since 4 days (grade 3-4) • pedal oedema since 4 days • cough since 4 days • abdominal distention since 4 days • decreased urine output since 4 days even after taking spironolactone. HOPI: He was apparently asymptomatic 3yr back. The patient is a chronic alcoholic and had similar complaints every time he presented to our hospiatl opd partly due to not taking medication and continuing dr
