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36 year old female with low backache and past ovarian tumor

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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 solveb 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 box is welcome. Case: A 60 year old male with Abdominal distension since 3 months History of presenting illness: Patient was apparently asymptomatic until 3 months ago He then he complained of abdominal discomfort which was Sudden gradually progressive accompained with Bloating Sensation and tightness;  SOB aggreviated after having food History of similar complaints 3 months ago and ascitic tap was done. c/o loss of appetite. H/o Lower abdominal pain 5 months ago.  No Clo Decreased or
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