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A 42yr/F came to the casualty with complaints of fever , nausea , constipation , generalised weakness since 7days ; burning micturition since 1day.

"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" A 42 y /F came to the casualty with complaints of fever , nausea , constipation , generalised weakness since 7days ; burning micturition since 1day  HOPI-  Patient was apparently asymptomatic 1week back , intermittent not associated with chills , rigors , associated with generalised weakness . Patient not able to get up from bed associated with nausea , constipation , passing flatus . No c/o loose stools and vomitings. C/o burning micturition since 1day . Dry cough since 1day 

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