Sushma

  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. Here is a case i have seen: 50 year old male farmer by occupation came with chief complaints of ? GTCS type of seizures 2 episodes 2days back He was apparently asymptomatic 6 months back. History of present illness:  He had ? GTCS type of seizures 1st episode on saturday morning around 1am lasting for 5 to 10 mins starting from left hand and later ?generalised with 2-3 mins of post ictal confusion  Blurring of vision + Uprolling of eyeballs + Loss of conscious...

  CASE 1 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html Q1  Reason for this patients ascites  Ans-  Ascites is caused by increased pressure in the veins in the liver (portal hypertension) and decrease in liver function caused by scarring of the liver( cirrhosis) In this patient due to alcohol misuse Being overweight. Being obese increases your risk of conditions that may lead to cirrhosis, such as nonalcoholic fatty liver disease and nonalcoholic steatohepatitis. Because of liver disease,its functions are comprimised.so,albumin is decreased which leads to decrease in colloidal osmotic pressure leading to fluid accumulation. 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-due to filariasis The  filarial worms block and prevents lymph fluid from draining well, and the fluid buildup leads to...

  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. Here is a case i have seen: 65 year old male who was a daily labourer and stopped working 2 years back,came with chief complaints of bilateral pedal edema since 10days ,facial edema since 10 days,shortness of breath since 7 days and cough on and off since 7 days, decreased urine output since 7 days. Patient was apparently asymptomatic 2 years back,then he developed bilateral pedal edema, facial edema,productive cough,low back ache,shortness of breath and visited local...