C H Meghana

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   A 60 yr old male presented to opd with chief complaint of shortness of breath and bilateral pedal edema. History of present illness :patient has a history of coronary artery disease in January and was diagnosed to be having myocardial infraction. History of past illness:patient was diagnosed with diabetes 2yrs ago and has a history of loss of consciousness while going to washroom.he was on irregular medication and stoped as sugar levels were normal . again he started regular medication since 5 yrs .patient is also a known case of hypertension and chronic renal failure. Personal history:he is married

  30 YEAR OLD FEMALE WITH ABDOMINAL DISTENSION AND BILATERAL PEDAL EDEMA.  This is online e log book to discuss our patients de identified health data shared after taking his/ her/ guardians 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 also reflects patients centered learning portfolio.   A 30 year old woman presented to opd with the complaints of Abdominal distension since 4 months, Dyspnea at rest since 4 months  She used to work as a coolie and was married at the age of 18 years. She has given birth to 4 children, 3 daughters and one son(the youngest), all through normal vaginal delivery. Her last delivery was 20 days back and the abdominal distension which she developed during pregnancy was gradually progressive and often felt dyspneic especially on exertion. She even had bilate