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65 year old female patient complains of pedal edema

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  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. Chief complaint:  A 65 year old female patient presented to OPD with a complaint of  pedal edema and decreased urine output since 1 week . History of present illness : Patient was apparently asymptomatic 1 year back and suffered lower back pain and noticed mild pedal edema and undergone symptomatic treatment and got resolved of the condition .Then 2 months back   she developed pedal edema and shortness of breath  , weakness in lower limbs then she visited nearest hospital . Past history : Patient was known case of hypertension since 1 year .she had history of lower back pain 3years back for which she took relevant trea