Akila Sri

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: A 30yr male cloth merchant came with complaints of  Vomitings - 3 days Pain abdomen - 2 days Decreased urine output from 1 day Patient was apparently asymptomatic 3 days back then he developed 1 episode of vomiting after a binge of alcohol (content : alcohol)  Next day he gradually developed pain abdomen and vomitings associated with food and water intake Vomitings:   6 episodes per day, non bilious, non projectile, associated with fo...

                          CASE 1       This is a case admitted in my unit , so patient is a 57 yr old male with poor lifestyle habits and obesity and chronic alocholic .  https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1. What is the reason for this patient's ascites?   A.  Ascites is defined as the presence of excessive fluid in the peritoneal cavity.          Reasons for Ascites:       . CHRONIC LIVER DISEASE (ALCOHOL             INDUCED LIVER CIRRHOSIS)       .  HYPOALBUMINEMIA      .  TRUNCAL OBESITY >> METABOLIC                    SYNDROME >> NAFLD >> CIRRHOSIS         MECHANISM:        Portal hypertension ----sp...