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Bimonthly assignment(Nov)

  1) "55 year old male patient  came with the complaints of  Chest pain since 3 days  Abdominal distension since 3 days  Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days. https://sreejaboga.blogspot. com/2020/11/is-online-e-log- book-to-discuss-our.html?m=1 Question 1) pain in the epigastric region differentials Epigastric Biliary: cholecystitis, cholelithiasis, cholangitis Cardiac: myocardial infarction, pericarditis Gastric: esophagitis, gastritis, peptic ulcer Pancreatic: mass, pancreatitis Vascular: aortic dissection, mesenteric ischemia p971.html Gall stones : This occurs at the level of the sphincter of Oddi, a round muscle located at the opening of the bile duct into the small intestine. If a stone from the gallbladder should travel down the common bile duct and get stuck at the sphincter, it blocks outflow of all material from the liver and pancreas. This results in inflammation of the pancreas that can be quite severe. 2
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A 35 year old female came with burning micturition,pain abdomen ,left sided loin pain since 5 days

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  This 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.  A with c/o burning micturition since 5 days A 35 year old female who is labourer by occupatio came with c/o burning micturition since 5 days C/o pain abdomen since 5 days C/o left sided loin pain since 5 days Hopi : pt was apparently asymptomatic 5 days back then she developed c/o burning micturition since 5 days C/o pain abdomen since 5 days at epigastric region which is intermittent type and increased after intake of food associated with nausea C/o left sides loin
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Bimonthly internal assesment

  CASE 1 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html Q1  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           https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092576/ Altered echo texture of liver due to Cirrhosis causes portal hypertension leading to increased hydrostatic pressure causing fluid accumulation hence Ascites  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 may be due to the decrease in the levels of albumin (long standing cirrhosis).  The ulcerations are due to limited movements (improper dressings).  3) What was the reason for his asterixis and constructional apraxia and what was done b
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A 45 year old male with bilateral pedal edema and abdominal distention

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  This 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 32 year old man who works as an auto driver presented with the 2 months history of cough with mild expectoration ,H/o loss of weight and appetite for 2months ,he also reported 1week H/o progressive dyspnoe associated with pedal edema. The pt was in his usual state of health 2months ago then 2 he insidiously developed cough associated with spoon full of whitish mucouid expectoration only in the morning ,the cough is often dry and irritable a
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