51. Rashmitha Reddy

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. A 67year old male , daily wage worker has come to casualty with chief complaints of acute onset of shortness of breath since 1 week  Patients also complaint of inability to breath during  sleeping , but there decrease in the SOB on sitting position since one week. Patient also complaints of swelling in the foot since one day . Patient also complaints of cough with expectoration. HISTORY OF PRESENT ILLNESS: Patient was apparently well , asymptomatic before illness and noted sudden onset of shortness of breath  since a week and wheeze . He  also complaints of  orthopnea and paroxysmal nocturnal dyspnoea since

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