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71 year old with fever for 1 day, shortness of breath since 4 days and pedal edema since 4 days

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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   CASE PRESENTATION:  71  year old male agricultural labourer by occupation  was absolutely healthy 10 days back.  Later he had fever for 1 day, low grade,associated with generalised weakness Abdominal distension since 3 days, shortness of breath since 4 days, orthopnea- grade 4. no history of seasonal variation. B/L pedal edema since 4 days, pitting type. Adequate urine output. Heaviness in chest since 3 days Cough dry intermittently since 3 days  Loss of appetite since 3 days No comp