medicine

CASE 1 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1)  Reason for this patients ascites  The most common cause of Ascites is        Cirrhosis of liver        risk factors in this patient :       1. Chronic alcoholism since 40 years       2. Truncal obesity leading to metabolic syndrome causing NAFLD leading to cirrhosis 2) Why did the patient develop bipedal lymphedema? What was the reason for the recurrent blebs and ulcerations and cellulitis in his lower limbs?   Ans: Bilateral pedal oedema which is of pitting type is due to decrease in the albumin level trends due to course of the disease and long standing cirrhosis causing decrease in the production of proteins causing decrease in the oncotic pressure leading to accumulation of fluid. ulcerations are due his limited self practising manoeuvres done in inappropriate conditions such as  improper dressing of the wound, not maintaining aseptic conditions , indescriminate use of steroids (self me

 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.  CASE PRESENTATION: A 52year male, carpenter by occupation, resident of bhongir, had H/O excessive daytime sleepiness 10yrs back, for which he went to hospital and was diagnosed with diabetes and on oral hypoglycemic drugs and on regular follow-up. After 4-5 yrs, one fine night, pt was found unresponsive and was profusely sweating,? Hypoglycemic epidode,later he was shifted to hospital and was diagnosed with some cardiac  condition for which angiogram was done, reports are

 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.  CASE PRESENTATION: A 37 year old female patient house wife by occupation came with chief complaints of abdominal distension and fever from 5days. HOPI: Patient was apparently asymptomatic 5days ago then developed Abdominal distension and fever 5days back. Low grade intermittent fever not associated with chills and rigors. H/O abdominal distension from 5days insidious onset gradually progressing. H/O polyuria and generalised weakness  No H/O chest pain , palpitations,jaundi