34 year old male with cirrhosis secondary to alcohol with portal hypertension with gross ascites

I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with a diagnosis and treatment plan. Following is the view of my case  CASE PRESENTATION  A 65 old male presented to opd with the chief complaints of            -- slurring of speech           --   difficulty in walking            --   weakness of left upper limb since  yesterday            -- complain of pedal edema . History of present illness  Patient was apparently asymptomatic 6 months back then he had h/o  loose stools 6 to 7 episodes daily ,low quantity , yellow colour No association with pain abdomen,no mucus in stool  No blood in stool  History of fever 2 episodes in the past 6 months  No history of nausea vomiting  No history decreased appetite  History of past illness  K/c/o Hypertension from 7 years telma H pr

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT This is a case of 32 yr old male resident of nagaram , housekeeper in a hospital in kachiguda came to general medicine OPD with  CC: patient came to OPD with cheif complaints of abdominal pain , vomiting, Sob since 5 days. HOPI : patient was apparently asymptomatic 10 days back then he developed fever without chills and rigor , with no diurnal variation , yellowish urine without burning micturition , b/l pedal edema upto ankle , facial puffiness , for which he has gone to rmp and diagnosed as jaundice, later on 24 th he took a herbal medicine, and on 25 he developed abdominal pain which is sudden in onset and gr

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. Thia E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.  Thisis a 65 year old  female housewife hailing from Peddakaparthy in Telangana who came to the OPD with chief complaints of loose stools.   Chief complaints:P atient was brought to casuality on 23/11/22 at 4:0