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A 60 year old female with Ascites

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  A 60 year old female with Ascites : THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT .  A 60yr old female Resident of Narketpally who is housewife came to the OPD with chief complaints of Abdominal distension and tightness since 15 days. HOPI : Patient was apparently asymptomatic 10 years back.  Then she came to our hospital for a routine checkup as she was weak and diagnosed with Hypothyroidism.She used medication for about 1 year then stopped as she was told that it has come to normal.Again started using medication since 3 years  as advised by doctor. After 3 months again she came to our hospital as she had  giddiness and was diagnosed with Diabetes and