Case history 2
30 YEAR OLD FEMALE WITH ABDOMINAL DISTENSION AND BILATERAL PEDAL EDEMA. This is online e log book to discuss our patients de identified health data shared after taking his/ her/ guardians 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 also reflects patients centered learning portfolio. A 30 year old woman presented to opd with the complaints of Abdominal distension since 4 months, Dyspnea at rest since 4 months She used to work as a coolie and was married at the age of 18 years. She has given birth to 4 children, 3 daughters and one son(the youngest), all through normal vaginal delivery. Her last delivery was 20 days back and the abdominal distension which she developed during pregnancy was gradually progressive and often felt dyspneic especially onexertion. She even had bilate