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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT 55years old female came to OPD with  chief complaints of  1) Fever since 14 days  2) Abdominal pain since 10 days, 3) shortness of breath since 10 days 4) vomitings since 3 days History of present illness  Patient was apparently asymptomatic 14 days back then she developed Fever, which is insidious in onset, low grade , intermittent, associated with chills and rigor with no aggrevating factors and relieved on medication on first 2 days then she developed Abdominal pain since 10 days,which is insidious in onset, gradually progressive, she localised the pain to her right upper quadrant, it was sharp in natu...
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