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32/M CHRONIC LIVER DISEASE

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 32 years male patient driver by occupation came to casuality with chief complaints of abdominal distention, pedal edema since 10 days and yellowish discoloration of eyes since 20 days HISTORY OF PRESENT ILLNESS :-  Patient was apparently asymptomatic 20 years ago and at the age of 10, patient developed one episode of seizure for which he did not use any medication and seizures subsided by itself. About 10 years ago the patient had developed scaly lesions over the legs and hands for which he had diagnosed as Psoriasis  and since then he was on medication. About one year ago patient developed yellowish discolora