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  GENERAL MEDICINE E-LOG October 04, 2021 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.  NOTE: This is an ongoing case, the ELOG will be updated as and when we get the new information.  CHIEF COMPLAINT: A 65 year old male came to opd with the chief complaints of  Pedal edema and  Dyspnea on exertion( Grade III) since 10 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back, then he developed pedal edema and he was having dyspnea on exertion which is of grade III.  No bleeding manifestation No c/o burning micturition  No c/o cough, cold, headache HISTORY OF PAST ILLNESS: He was diagnosed with Acute Kidney injury in the past for which 4 se