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case study case presentation congestive gastropathy psychiatry liver case complications portal hypertension hepatic encephalopathy liver damage cirrhosis of liver grade 2 oesophageal varices oesophageal varices pathophysiology liver cell liver transplantation necrotizing fasciitis fasciitis fascitis cellulitis necrotizing skin infection flesh eating disease soft skin infection soft tissue infections fasciia skin alzheimers dementia neurodegenerative disease alzheimers disease osteoarthritis senile dementia microbiological culture antimicrobial sensitivity test ast culture sensitivity test microbiological culture sensitivity test pulmonary tuberculosis. rvd ascites human immuno deficiency virus retro viral disease tuberculosis hiv-1 aids hiv-1 infection alcohol dependence alcohol abuse alcohol withdrawl alcohol mental and behavioural disturbances due to use of atrial heart failure biventricular heart failure pharmacovigilance adr adverse drug reactions who umc naranjo causality assessment predisposing factors classification of adr mechanism of adr mechanism of adverse drug reactions augmented reality bizzare continous delayed abcd abcde icd 10 diseases classification of diseases international history of icd icd disease as per icd drugs drug drug development process drug development process phases of drug development clinical trial pharmacological development process of drug development drug development procedure antipsychotics typical antipsychotics atypical antipsychotics classical antipsychotics traditional antipsychotics compare antipsychotics antipsychotic medications chf congestion congestive heart failure heart failure cor pulmonale chf treatment left sided heart failure right sided heart failure ventricular heart failure