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Showing posts from November, 2021

An intriguing case of ASCITES

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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 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.  Date of admission : 22 November 2021 A  23 y ear old female who is home maker came to the OPD with the chief complaint of distension of abdomen   History of present illness :  Normal routine of the patient :  The patient wakes up by 6 AM daily, carries out all the household work, will not have breakfast, goes to the field by 10 AM and does farming, then she used to have his lunch by 1/2 PM (rice & curry or roti) and return home by 6/6.30 in the evening. Then she used to have his dinner (rice again) and sleep by 10 PM. The patient was apparently asymptomatic 52 days back then she first fel...

Liver disease secondary to ALCOHOL consumption

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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 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.  A 36 year old male who is plumber by occupation came to the OPD complaining about  - Yellowish discoloration of his eyes since 1 month - Reddish discoloration of urine since 1 month HISTORY OF PRESENT ILLNESS: Normal routine of the patient: He used to get up at 6.30/7 in the morning, used to have tea and passed the time until afternoon talking to his friends then used to have lunch at 1 PM which is rice.He used to return home by 6 in the evening then he used to freshen up and drink alcohol (150-200ml per day) and used to have dinner at 9 PM and sleep after that. The Patient was apparently asymptomatic 1 m...