A 50 yr old female with fever and abdominal distension
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 50 year old female came to OPD with chief complaints of •Fever since 6 days •Abdominal pain and distension since 6 days, •Burning micturition since 3 days •Vomitings HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 6 days back then she developed fever which is insidious in onset, continuous associated with chills and subsided when taken medication . Abdomen is distended and non tender , associated with pain which is dragging type and on palpation liver is enlarged . Petechiae a