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short case

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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. A 53 yr old male patient came to casualty with a cheif complaint of : Fever,abdominalpain , abdominal discomfort, bloating ,constipation and no passage of stools since 4 days. History of present illness: Patient was apparently asymptomatic 4 days back then he developed high grade fever which is intermittent associated with chills and rigors, headache and constipation. Patient also complaints of abdominal pain (dull aching insicidous onset) and bloating since 4 days . Had single epis

long case

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This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients 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 elog book reflects my patients centered online portfolio and your valuable inputs on the comments is welcome.  Date of admission of the patient January 17th. A 65 year old male patient from nagarjuna Sagar farmer by occupation came to the OPD with the chief complaint of bilateral pedal edema and shortness of breath since 1 week and is on bed rest since then. HISTORY OF PRESENT ILLNESS.  Patient was apparently asymptomatic 10 years back then he met with an accident (fell while riding bullock cart injuring his mandible) . Later he got  diagnosed with heart failure and started using NSAIDS 5 yrs back. History of single ep