Welcome and greetings to every one who are visiting my blog. This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 40year old female came to the opd with the chief complaints of abdominal distention and facial puffiness and itching since 1year, shortness of breath since 5days and pedal edema since 5days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year back then she developed abdominal distension, facial puffiness,itching all over the body and 5 days ago she developed pedal edema and SOB grade 3. she had an episode of vomiting two days back which contained food particles. It was relieved on medication. HISTORY OF PAST ILLN