A 70 year old male with facial puffiness and pedal edema
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 box. A 70 Year old man who was a toddy tree climber,resident of chirala came to casuality 2 days back with chief complaints of pedal edema and facial puffiness from the past 15 to 20 days back HOPI : Patient was apparently alright 3 years back ,one day he developed generalized body weakness which is intermittent in nature,so from then he is not climbing the trees He daily wakes up at 6 am in the morning ,completes his daily routine,brushing teeth etc and drinks tea , eat breakfast by