47 year female with acute left heart failure
47 YEAR OLD FEMALE PRESENTED WITH ACUTE LEFT HEART FAILURE CAUSING RIGHT HEART FAILURE WITH SYSTEMIC ARTERIAL HYPERTENSion 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. Here is a case i have seen: 47 year old ayamma came to OPD with complains of abdominal distension since 3 days which is progressing to anasarca. Dyspnea since 2 days. HOPI: Patient was apparently asymptomatic 4 years back later she had an episode of fever with generalised edema for which she admitted in hospital ( Kim's ) and a