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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 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-centred online learning portfolio and your valuable inputs on the 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 a diagnosis and treatment plan COMPLAINTS : 55 year old female garden worker by occupation came with complaints of anasarca since 1 month,sob grade 3 to 4 since 1 month HOPI: Patient was apparently asymptomatic 3 years b

 A 35 year old man presented to the casualty with the complaints of  Bilateral pedal edema since 1 week Dyspnea since 15 days  Abdominal distension since 2 months  History of Presenting illness A 35 year old man, who sells plants  at nalgonda tells us a detailed insight to the reason for all his problems. He says he has been married 9 years back but since the past 5 years he has been living apart from his wife and his 2 sons due to marital issues. Prior to that he used to consume alcohol occasionally but since the past 5 years he has been consuming about half to 1 bottle of whiskey everyday. 3 years back, he paid a visit to a local hospital with abdominal distension and pedal edema and he was diagnosed with chronic liver disease for which he used medications for a while and stopped. He was even diagnosed to be a diabetic back then and he started using Tab Metformin 500mg OD. 2 months back, his abdominal distension increased and his eyes became yellow after which he started using local

62/F came to casualty with c/of pain abdomen since 1 month  Yellowish discoloration of eyes since 15 days  Vomitings since 15 days sob since 15 days  Decreased appetite since 15 days Patient was apparently asymptomatic 1 month back  Had H/of pain abdomen on and off since 1 month - insidious onset, intermittent , diffuse and burning type of pain associated with decreased appetite taking only fluids since 15 days f/by vomitings - bilious, non- projectile, food or water as content whenever patient is taking oral feeds Yellowish discoloration of eyes since 15 days  Sob since 15 days inscidious onset gradually progressed from grade 2 to 3 associated with pedal odema and decrease urine output  not associated with fever, cold, cough, orthopnea and PND No pale coloured stools, mucous , blood or dark coloured stools  0/examination: pt-conscious and tachypnic  Afebrile  Icterus +  No pallor, cyanosis, clubbing, lymphadenopathy PR - 90 bpm  BP- 130/80 mm of hg  RR - 34 cpm  Spo2 -88 with RA  98