CASE PRESENTATION

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  A CASE OF 47 YEAR OLD FEMALE WITH SOB AND ANASARCA  Date of admission: 0 2/10/2022 A 47 yr old female , homemaker by profession was brought to casualty with CHIEF COMPLAINTS  of progressive swelling in arms and legs and distension of abdomen since 1 week HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 20 years ago when she used to work as farmer in paddy and cotton fields  Her daily routine was described as follows: Starts at morning 6 am. After regular needs she goes to paddy and cotton fields. She observed her fingers tips turned white and cold with tingling sensation when she put her finger in water while planting. She works till 4-6pm and the