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45 year old male with decompensated liver disease with portal hypertension,ascitis,bilateral lower limb cellulitis , alcohol dependence syndrome, hepatic encephalopathy(resolved) , uti and microscopic hematuria

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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 is welcome. Here is a case i have seen: A 45 year old male farmer by occupation presented to opd c /o bilateral pedal edema since 4 months Abdominal distension since 4 months Ulcer on left foot 15 days ago  Patient was apparently asymptomatic 4 months back then he developed  b/l pedal edema which was insidious in onset pitting type associated with abdominal distension which was also insidious in onset for which he was admitted and got discharged 2 months back.patient deve...

70 year old female with acute ischemic stroke(left MCA territory),? Cardioembolic stroke(heart failure with preserved ejection fraction with RBBB)

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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 is welcome. Here is a case i have seen: A 70 year old female came with  c/o inability to speak since morning around 7:30 am No h/o weakness of upper limb and lower limb  No h/o deviation of mouth No h/o giddiness/syncopal attack No h/o fall/loss of consciousness/epilepsy History of present illness: Patient was apparently asymptomatic 1-2 hrs back then around at 7am patient son went to wake him up which was his usual time where he observed she was unable to speak but she w...