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November bimonthly assessment exam

CASE : 1 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. A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  ANATOMICAL LOCATIONS WITH ETIOLOGY: GIT (Pain abdomen) : Etiology: Pancreatitis secondary to ? chronic alcoholism KIDNEYS (Oliguria) : Etiology: AKI (pre renal due to fluid loss in pancreatitis) Sepsis induced ATN HEART / LUNGS (SOB) : Etiology: AKI leading to fluid overload and heart failure. Pancreatitis leading to pleural effusion / ?ARDS GIT (Constipation) : Etiology: ? paralytic ileus secondary to pancreatitis Sequence of events A.diaphyseal dysplasia of both tibia B.patient is a alcoholic and ...
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55 year old male with bilateral lower limb swelling and facial puffiness

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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.  55 year old man, fruit seller at NTR nagar Hyderabad presented to our casualty with the complaints of  Swelling of both his lower limbs since 4 months  Facial puffiness since 2 weeks Cough since 3 days He was previously working as a coolie at suryapet and got married to a farmer. He has 4 children, 3 daughters and a son. He has been drinking alcohol since 30 years, takes around 90ml of whiskey once a week. His last drink was 2 months ago.He used to even smoke ...
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RBC Morphology

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PT APTT procedure

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October bimonthly assessment exam

I)57 year old man with jaundice, pedal edema and abdominal distension since three years and bleeding gums since three days" https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1) What is the reason for this patient's ascites?    A) Chronic alcoholic ---> Chronic liver disease         --->Decreased liver function--->  Hypoalbuminemia---> Ascites Albumin is synthesized in the liver, and low serum albumin can be indicative of liver failure or diseases such as cirrhosis as seen in our patient. So as liver is failing it's function of protein production is coming down too. Hypoalbuminemia decreases the total protein concentration in blood plasma, also known as the colloid osmotic pressure, which causes fluid to exit the blood vessels into tissues to equalize the concentrations. This leads to build-up of fluid in the abdomen known as ascites. The production of lymph increases in cirrhosis with portal hyperten...
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Pain abdomen and loose stools since 12 years

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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. 33 year female patient a attender in school came with the chief complaint of pain in abdomen and loose stools on and off since 12 years. Patient was apparently asymptomatic 12 years back, then 7 months after her 2nd LSCS she developed abdominal discomfort, pain and blood in stools over 2 months period.  She developed pain in abdomen, insidious onset, gradually progressive, colicky type, radiating to right loin and right hypochondrium. She complaints of loose stools- sof...
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Fever, generalized weakness and loss of appetite since 10 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. Case presentation: 30 year male patient, a construction labourer, came with the complaints of fever, generalized weakness and loss of appetite since 10 days. Patient was apparently asymptomatic 10 days ago. Then he had high grade continuous fever, which temporarily relieved on medication. The fever was associated with chills and rigor, dry cough, generalized weakness and loss of appetite. Initially they want to RMP were he was prescribed paracetamol and diclofenac plus ...
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