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70 yr old male with swelling of both legs and facial puffiness

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 70 yr old male with swelling of both legs and facial puffiness September 20, 2022  September -20 ,2022 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  Rakshitha Reddy  Roll no 106 A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of  Swelling in both legs since 20-25 days Facial puffiness since 20-25 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently ma