Bar bar plt dowan hone ka kiya bajah h

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Many time its Idiopathic in Pediatric Cases
रोगी का पूरा व्योरा भेजे जिसमें निदान हेतु विचार किया जा सके।
Detailed history plz
sir pt age 40 hcv positve jab s plt dowan hua h shoulder pain ho rah plt nhi bad rah h
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give me treatment