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a 44 years old male with chronic liver disease

December 20, 2022 Name: Himabindhu  Roll no.47 This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 protfolio and your valuable inputs on comment box is welcome. Chief complaints : 44 year old male came to OPD with chief complaints of loss of appetite since 1 month , cough and expectoration since 10 days and sob since 3 months. HOPI : patient was apparently asymptomatic ten years back . Then he developed loss of appetite , yellowish discoloration of sclera. Then he went to local hospital and was told he had jaundice.and relieved on herbal medication then he was fine till one month back ....