
40year old female with facial puffiness 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 . Hall ticket: 1701006049 40 old female came to OPD with chief complaints of : Abdominal Distension since 1 year Facial puffiness since 1 year Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs Sob since 5 days pedal edema since 5 days pitting type H/O PRESENT ILLNESS Patient was apparently asymptomatic 1 year back then she developed abdominal distension, facial puffiness,itching...