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general medicine final practical

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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" Ĺong case 35 year old male came to the opd  with chief complaints of upper abdomen pain since one week,fever since one week ,backpain since 4 days. Patient was apparently asymptomatic 20 days back ,then he observed yellowish discolouration of eyes and got admitted to near by hospital and diagnosed as jaundice after investigations and taken medications ,later 1week back he developed pain in the abdomen which was insidious in onset, gradually progressive. Pain in right hypochond