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41 year old male with Alcoholic liver disease

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  This is 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.  I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers s
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Decompensated liver disease

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  This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome. A 27yr old male patient resident of Nalgonda came with   CHIEF COMPLAINTS- C/o loss of appetite since 20 days C/o blood in urine since 10 days and C/o pedal edema since 10 days HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 20 days back then he had loss of appetite for which he went to the hospital and was diagnosed as CLD spleenomegaly and portal hypertension for which he  took medication after which he developed haematuria since 10 days and pedal oede
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