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A 50 YEAR OLD MALE WITH ABDOMINAL DISTENSTION SINCE 3 DAYS

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 13 JUNE 2023 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 is welcome CHIEF COMPLAINTS Pedal edema since 1 day Abdominal distension since 3 days Shortness of breath since 3 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 3 days back , then he developed abdominal distension  which was insidious in onset , gradually progressive in nature. He complained of shortness of breath since 3 days (grade 2) upon doing ordinary activity like walking to his field after eating.He used to walk 2km without any inconvenience but since 3 days he is able to walk upto 1km only. He also complained of pedal edema since 1 day which was insidious in onset, gradually progressive