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 53 YR OLD MALE WITH B/L PEDAL EDEMA.                June 12,2023. 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE:- A 53 year old male who owns a hotel by occupation,came to the opd with  CHEIF COMPLAINTS: C/O of bilateral pedal edema since 20days. C/O of decreased appetite since 20days . HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 20days back then developed bilateral pedal edema pitting type extending upto the knee , insidious in onset gradually progressive since one week  ~facial swelling since 7days  ~yellowish di