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A 35 year old with breathlessness since 8 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.  CASE A 35 year old female,resident of miryalguda,worker in steel shop,came  with chief complaints of shortness of breathe since 8days HOPI  :She was apparently asymptomatic 10 days back,and then she developed fever which was insidious in onset,continuous,high grade,no evening rise of temperature,not associated with chills and rigor,for which she went near local RMP and took injections and temperature decreased. And then she developed breathlessness 8 days back,which was insidious in