A 54 year old male C/O abdominal bloating and sob since 2 -3 months.C/o pain in left side of chest - h/o trauma to chest yesterday

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 54 year old male C/O abdominal bloating and sob since 2 -3 months.
C/o pain in left side of chest - h/o trauma to chest yesterday 
Hopi :
Patient was apparently asymptomatic 2 to 3 months ago then he had developed abdominal bloating, which aggravated after food intake, which relieved after taking PPIs , belching present, no regurgitation
H/o sob on exertion ( grade l mmrc ) which aggravated since 3 months after bloating of abdomen 
No C/O chest pain ,palpitations,orthopnea,pmd, decreased urine out put/facial puffiness
H/o trauma to left 8th rib yesterday while doing routine labour work , and continuous pain in the left side of chest, dragging type pain , aggravates on movement and during deep inspiration
N/k/c/o fever cold cough, vomiting, loose stools 
Past history:
N/K/C/O HTn,DM,CAD,CVA,TB , asthma and epilepsy

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