General medicine
This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. 70 yr old male patient came to opd with c/o of chest pain intermittent since 15 days. HISTORY OF PRESENT ILLNESS patient was apparently asymptomatic 3 months back,then he developed exertional dyspnea(grade II) associated with cough ,wet type of sputum. History of pedal edema 3 months back which is pitting type. HISTORY OF PAST ILLNESS HTN since 4 yrs on tab telmisartan-40 mg No H/O dm No H/O TB No H/O cad No H/O epilepsy PERSONAL HISTORY Married Appetite-normal Diet -Non vegetarian Bowel and bladder movements-regular Allergies-no PHYSICAL EXAMINATION Pallor-present Pulse rate-76/min BP- 150/80 R