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40YR OLD MALE WITH CKD

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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.  CHIEF  COMPLAINTS PT IS BROUGHT TO CASUALITY  WITH  C/O PAIN ABDOMEN SINCE 2 DAYS         VOMITING SINCE 1 DAY         DECREASED  URINE OUTPUT SINCE 1 DAY         NO URINE OUTPUT SINCE 8 HOURS HOPI- PT WAS APPARANTLY ASSYMPTOMATIC 3 DAYS BACK THEN HE DEVELOPED PAIN ABDOMEN ; DRAGGUNG TYPE OF PAIN IN EPIGASTRIUM AND UMBILICAL REGION NOT RADIATING INCREASE WITH FOOD INTAKE DISTENTION OF ABDOMEN IS PRESENT VOMITINGS PRESENT 1 EPISODE PER DAY NOT BILIOUS AND NON PROJECTILE  NOT BLOOD TINGED DECREASED URINE OUTPUT SINCE 1 DAY NO FACIAL PUFFINESS,FEVER,BURNING MITURITION. NO H/o SOB, CHEST PAIN,BLURRING O