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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' 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 49 year old male came to OPD with chief complaints of : RT lower limb swelling since 10days and fever since 5 days Patient was apparently normal 10 years back then he had progressive swelling of right lower limb and diagnosed with filariasis and also diagnosed with HTN and DM since then using antihypertensive and OHA drugs. 3year back patient had observed pedal edema and went for further evaluation and diagnosed to have ?chronic renal failure (S.cr-2). 2years back patient had COVID + following which he had SOB at rest to which he had evaluated one week after and diagnosed with Inferior wall MI. Thro

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' 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 72 year old male handloom worker occupation, resident of village near choutuppal presented to casualty with  Chief complaints of : Bilateral lower limbs swelling since 1 to 2years (on and off) associated with SOB. Patient was apparently alright 20 years back when one day he had sudden on set of chest pain left sided associated with sweating and palpitations then he went to local hospital and told he had an heart problem (?CAD) then was using regular medications. Since 2 years patient developed bilateral pedal edema (on and off) initially till ankle then progresses till above knee since then he had b