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50 year old female with complaints of pedal edema, shortness of breath and fever.

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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'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. 50 year old female from Nilavanuru Mandal ( 60 kms from here)  was a farmer by occupation. She stopped going to work from last year after her cataract surgery about 8 months ago H/o cataract surgery : right eye 3 years ago , left eye 8 months ago. She got married when she was 12 years old . She had 5 children of which 3 are female and 2 are male. All the births were normal vaginal deliveries after which she underwent a hysterectomy ( 20 years ago) . 8 years late...