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70M PYREXIA HEART FAILURE INCISIONAL HERNIA PaJR.

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14-10-2024 This is an online E Log book to discuss our patient's de-identified health data shared after taking his signed informed consent. Here we discuss our patient's problems through series of inputs from available global online community experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.  In this case the patient is a 70yr old male admitted with sudden fever intermittent associated with chills and rigors. Pyrexia of unknown origin heart failure with mid range ejection[EF 43%] B/L mild to moderate pleural effusion incisional hernia, sub acute intestinal obstruction.  K/C/O DM since 4 yrs. HTN since 2 yrs. CHIEF COMPLAINTS:  C/O fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently normal before 1 week. Suddenly developed fever intermittent associated with chills and rigors. No H/O cough, cold, vomiting, diarrhoea,  burning micturition.  HISTORY OF PAST ILLNESS  K/C/O T2 DM since 4 y