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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.  E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. 50 year old housewife  presented to our opd with the complaints of  1 episode of loss of consciousness 3 days back  Headache and generalised weakness    She studied till her 4th grade and got married to a farmer at the age of 17 years. She gave birth to 4 children via normal vagina delivery and got operated for hysterectomy around 25 years back. Her elder son is unemployed and is an alcoholic where as the younger son is a daily wage laborer. Both of her da...

 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.  E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.23lcome. 23 yr female with G4P2L1D1A1 was apparently asymptomatic till 4 th month of her 2 nd pregnancy  AOM : 13 yrs Normal regular cycles  Got married to 3 rd degree consanguinity and conceived spontaneous after 6 months of marriage. Due to absent fetal heart rate induced abortion was done with D and C . All her blood investigations are normal during that period ( records not available)  2 nd pregnancy after 6 months of abortion which is spontaneous and she ...