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Final long case

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 58 yr old male patient Daily worker by occupation Came to OPD on 11 January 4.57pm CHEIF COMPLAINT: Patient came to OPD 7 days ago with chief complaint of    Shortness of breath since 7 days SOB grade III relieved on sitting position ,increases while lying    Cold & cough since 6 days pedal edema, decreased urine output  since 6 days HISTORY OF PRESENT ILLNESS:  - Patient was apparently asymptomatic 1 yr back, then he developed Shortness of breath, cough, pedal edema, decreased urine output, distended abdomen - He was taken to hospital and diagnosed to have renal failur...