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A 35 year old male with bilateral pedal edema

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This is an online elog book to discuss our patients de identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient's problems through series of inputs from avialable global online community of experts with an aim to solve those patients 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 in comments below. A 35 year old male patient who is a daily wage labourer by occupation came to the opd with complaints of bilateral pedal edema since 2 months with was aggrevated from 20 days,abdominal distension from 20 days,and dry cough from 20 days ,facial puffiness from 3 days Patient was apparently asymptomatic 2 months back then he developed edema of feet which was on and off .From 20 days the edema gradually progressed till knee,which relieves on elevation of limb.From 20 days he was having abdominal distensio