Case presentation
"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 patients 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 comment box is welcome . A 60 yr old female .patient presented to OPD with cheif complaint of pain in the lower back region (right side) since 2 years and shortness of breath since 1 year HISTORY OF PRESENT ILLNESS patient was apperently a symptomatic when she noticed the pain in the lower back region Pain gradually increased during the time and it is more while walking Patient is undergoing dyalsis since 2 months weekly twice History of SOB since a year Patient complains of body pains PAS