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

Chief complaint: 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 Chief complaint :  53 year old male came to OPD with complaint of involuntary shaking of hands since 2 months. History of present illness: Patient was apparently asymptomatic 15 months back .Then he gradually developed tremors of left hand . The intensity  of tremors gradually increased  from past 2 months.on any physical activity there is decrease in tremors seen but during rest there was increase in tremors ( intermittent type ) No history of trauma No history of rigidity and bradykinesia  No history of postural instability  No history of reduced eye blinking,drooling  No history of loose stoo

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