CASE HISTORY
24 November, 2021 This is an online e log book to discuss our patient's de- identified health data shared after taking his / her /guardians 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 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". A 65 year old male patient presented to the opd with chief complaints of Pedal edema , shortness of breath, facial puffiness, decreased urine output. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 years back then developed right sided hemiparesis and was diagnosed with CVA 1 yr back patient was diagnosed with DM and HTN. Also patient developed pedal edema upto knee level and shortness of breath for which he was diagnosed with chronic kidney dis