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26 year old Male with Shortness of Breath and Pedal edema since 10 days

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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. 26 year old Male with Shortness of Breath and Pedal edema since 10 days HOPI:  A 26 year old male presented with worsening breathlessness since 3 hours post binge (90ml whiskey )  His earliest recall of events dates back to when he was studying in high school ( 9th class ) during the lunch break, he felt severe breathlessness and had to sit back while playing with copious amounts of ?sputum expectoration which he describes it as yellowish in colour and non foul smelling, he describe