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38 year old male with liver abscess

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    This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.   HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 12 days back and then he developed fever which is sudden in onset gradually progressive continuous type associated with chills and rigor; no aggravating and relieving factors; not associated with diurnal variation and evening rise of temperature. H/o abdominal pain since 12 days which is sudden in onset gradually progressive non radiating and diffuse type aggravated by taking deep breaths and relieved on taking rest. No h/o of nausea, vomiting, loose stools, loss of appetite, weight loss, burning micturition, de