Hall ticket number - 1601006111 LONG CASE - 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 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." LONG CASE 45 year old male, resident of ramanapet, farmer by occupation, came to the Opd, with chief complaints of Shortness of breath since one year. Bilateral pedal edema since three months. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic one year back then he developed, shortness of breath, which was insidious in onset gradually progressive fro