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A 42 year old male with body pains and fever

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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 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  CASE:- A 42 year old male, farmer by occupation, came to the OPD 9 days ago with complaints of fever, body pains, yellowish discoloration of the eyes and vomiting since the previous day.     The patient was apparently asymptomatic 17 days ago. He then had decreased appetite for a week before he developed fever, body pains, yellowish discolouration of sclera and vomitings. He then got admitted to this hospital.   HISTORY OF PRESENT ILLNESS:-  The patient has had a habit of drinking al