General medicine case

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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A 22 year old woman presented to op with  Cheif complaints of :                bilateral pedal edema since 1 month               Shortness of breath since  1 month               Decreased urine output since 10 days               Swelling of lips and face. Since 2 days HISTORY OF PRESENT ILLNESS :   patient was asymptomatic 1 month back then she developed pedal edema upto knees then she was taken to a local hospital for treatment   HISTORY OF PAST ILLNESS :   patient was diabetic since

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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 80year old woman presented with chief complaint of SOB grade IV and bilateral pedal edema. HISTORY OF PRESENT ILLNESSES: Patient was apparently asymptomatic 20 days back then she had history of fall by slipping on the floor and fell in sitting position.Then she had complaints of hip pain(left) and generalized weakness. She could walk normally for 4 days but later had complaint of too much pain and confined to bed. Later c/o SOB ,insidious in onset.initially only after walking but afte