45 years old female with shortness of breath
January 06,2023. This is an online E-log book to discuss our patients deidentified health data shared after taking his or 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 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 A 45 year old female patient presented to the opd with chief complaints of shortness of breath from 15 days who is a house maker by occupation HISTORY OF PRESENT ILLNESS:- patient was apparently asymptomatic 15 days ago, then she developed shortness of breath which was insidious in onset gradually progressive and aggravated on stress and cold temperature(class 2 NYHA) and relieved on rest. Within few days of onset of her symptoms the shortness of breath has progressed to class 4 NYHA w