General medicine case-7
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. CHIEF COMPLAINTS:- A 60 yrs old male, goat farming by the occupation presented to the opd with the cheif complaints of Distended abdomen since 20-30 days, pain in the abdomen since 1 week, decreased urine output since 2days and constipation since 2 days. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 1 month back then he developed abdominal distension since 20-30 days which is progressive in nature and is associated with pain since 1 week with decreased urine output and constipation since 2days. Patients daily routine is, he wakes up at early in the morning 5:30. He will hav