VINIL REDDY NALLAMDOMPALLY ROLLNO 101

  This is 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 patients 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 comment box is welcome." " I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan " A 55 year old male patient  construction  worker by occupation resident of nalgonda  came to opd with chief complaints  of  fever since 14 days , Breathlessness since 7 days ,Right side chest pain

 A 45 old male patient auto driver by occupation came to the OPD with cheif complaints of swelling in the both legs & shortness of breath since 5 days. History of present illness: Patient was apparently asymptomatic 5 days back then he developed increased swelling in both lower limbs which is pitting type of edema .insidious in onset gradual in progression. Swelling is up to the ankles . It is not seen above the ankles .  patient also complains of shortness of breath which is insidious onset gradually progressive . It progressed from grade 2 to grade-4.Patient also complains of breathlessness in lying down position. Aggravated on activity and relived on rest .  History of paroxysmal nocturnal Dyspnea is present 3 hours after patient sleeps and it is relieved when patient arises. Patient also complains of fatigue on activity.  No complaints of facial puffiness .  No H/o chest pain , palpitations, syncope attack .  No complaints of confusion , altered mental status , lack of concentr