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1801006154 - LONG CASE 45 year old male with abdominal distension and pedal edema

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  1801006154 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 . CASE :- 45 year old male complaints of abdominal distension and bilateral pedal edema (pitting type) , shortness of breath and scrotal swelling. CHIEF COMPLAINTS:- Patient complaints of •Abdominal distension  •swelling over both legs •Shortness of breath  •scrotal swelling    Since 25 days  HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 6 years ago, then he had swellings over chest for which he went to hospital and was d iagnosed as diabetic and was