A 70 yr old male with swelling of both legs and facial puffiness
September -20 ,2022 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 Patha Sindhusha Roll no 117 A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of Swelling in both legs since 20-25 days Facial puffiness since 20-25 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently made him discontinue his work. From past 1 yr he is having constipation 1 episode ev