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A 48yr old male came with chief complaint of chest pain and sob

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Medicine case discussion 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 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 inthe comment box are welcome I have been given this case to solve an attempt to understand the topic of "patient clinical analysis data " to develop my competency in reading and comprehending clinical data including clinical history,clinical findings, investigations and come up with a diagnosis and treatment plan A 48yr old male patient who is a labour by occupation and a resident mothukur Presented to the casualty with chief complaints of chest pain ans SOB  History of presen