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A 70 year old male presented with lower limb swelling and facial puffiness

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14 /09/2022 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 . K. Phani Keerthana  Roll no 72. A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of  Swelling in both legs since 15-20 days Facial puffiness since 15-20 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently made him discontinue his work.  From past 1 yr he is having constipation 1 episode every 3