A 39 years old man with chronic alcoholic since 17 years.

This is a HIPAA de-identified open-online-patient-record, posted on autumn 2015 after collecting informed patient consent (form downloadable here ) by LNMCH research assistant and patient-information-communication-executive and discussion initiated by patient's primary care physician in-charge: 

Conversational clinical decision support from online learning forum:

His present complaint is: constipation since 2 months 

                                     & cough with cold & dark colour stool.
                                     Now feeling weakness & dimness of vision.

O/E images: 

Doctor's notes

Investigation image