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A 42 year old male,daily wage worker by occupation came with shortness of breath ,vomitings,bilateral pedal edema

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Hi, I am Sravya , 5th Sem Medical Student.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 is welcome.” I have been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  CHIEF COMPLAINTS Bilateral pedal edema since 15 days. Decreased appetite since 15 days. Vomitings since 15 days. Shortness of breath since 5