Medicine case discussion

This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs. This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome. I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 75 year old man had come to the OPD with chief complaints of  pedal edema  ,  low urine output  and  shortness of breath  since the past 3 days. The patient used to work as an farmer and his daily routine consisted of him waking up at 7am and he going to farm , his average work