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

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...

Case:  45 year old male complaints of abdominal distension and b/l pedal edema (pitting type) , shortness of breath and scrotal swelling  Chieftain complaints Patient complaints of  Abdominal distension  B/l pedal edema  Shortness of breath  Scrotal swelling             Since 25 days  History of presenting illness Patient was apparently asymptomatic 6 years  back then he had c/o multiple swellings over chest for which he went to hospital and was diagnosed as diabetic and started starting medication since then  2 years back when he went for routine checkup he was diagnosed as hypertensive and started taking medication  6 months back patient became unresponsive and speech was reduced and was taken to local hospital where he was found to have low Grbs (27mg/dl ) and also found to have jaundice and was advised to stop alcohol consumption  Then 25 days back he developed scrotal swelling   , pedal e...