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77 year old male with abdominal distension

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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"       77 year old male daily wage laborer by occupation resident of narayanapuram came to opd with chief complaints of       -abdominal distension since 3 days             History of presenting illness:- Patient was apparently a symptomatic until 3 days ago then he had complaints of sudden onset of abdominal distention accompined with twisting type of pain; Dyspnea, constipation decreased urine output, painful defecation aggravated after having food                 No complaint

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