PENMETSA SRI HARSHA ROLL NO 198

  A 65-year-old male from Chityal Farmer by occupation was brought to ER with complaints of bilateral pedal edema, and shortness of breath since 15 days. He was the first born child in family with 1 younger brother and 2 sisters. Since childhood days he used to be very active and went to school by walking for nearly 4km. During his 10th standard as his father passed away he stopped his studies & being the elder son he took responsibility of his family and started to work. Married in 1980 and has three children- 2 sons and 1 daughter. He used to do farming and was living happily with his family. His daily routine includes waking up at 5 am - goes to cattle shed & comes back at 7am - eat breakfast & goes to field at 9 to 10am - returns home at 1 to 2pm - takes rest for sometime after having lunch & again goes to field - returns home at 5 to 6 pm & sleeps at 9pm. Since twenty years he had complaints of bilateral knee pains which were relieved by painkillers. Used NSAID

  MEDICAL CASE This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed. I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   A 45 year old female daily wage labourer from kattangur was brought to ER on 23-04-2023 with chief complaints of SOB since morning Dating back to her childhood days her father died