A 55 year old male with SOB
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.” A 55 year old male, farmer by occupation and a resident of rajammagudam, came with the chief complaints of * Shortness of breath since 1 week * Pedal edema since 3 days * Decreased urine output since 3 days. HISTORY OF PRESENTING ILLNESS * The patient was apparently assymptomatic 3 years back when he was diagnosed with diabetes when he visited the hospital with complains of fever. He was given tablet pioplus-2(Glimepiride, Metformin and Pioglitazone). He is complia