Internals paper
GM second internal
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61 year male with pain in left loin, decreased urine output,fever and constipation
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 61 year old male resident of agaram came to the OPD with chief complaints of pain in the left loin , decreased urine output,fever and constipation since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had one episode of vomiting followed by fever associated with chills and rigors.Then he had pain in the left loin which is associated with decreased urine output.Then he also developed constipation with diffuse pain in the abdomen.The pain in the left l...
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