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A 45 year old male with HFPEF 2° to Alcoholism - wet beri beri,Acute infarct in PCA territory (Recurrent CVA),Acute hepatitis 2° to viral with CLD(resolving) AKI( Renal interstitial nephritis) ?Uremic Encephalopathy,Delirium with Alcohol dependence syndrome,chronic alcoholic and smoker,k/c/o HTN since 5months

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th October 31, 2020 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 45 yr old male patient who is auto driver by occupation came with  C/o weakness of b/l upperlimb and lowerlimb since 1 week C/o pedal edema since 1 week HOPI: Pt was apparently asymptomatic 1 week back then developed weakness of b/l upper and lower limb since then  No h/o deviation of mouth ,giddiness,decreased urine output ,burning micturition ,facial puffiness C/o swelling of b/l lower limbs upto knees which ...

BIMONTHLY INTERNAL ASSESSMENT - NOVEMBER

  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. https://sreejaboga.blogspot. com/2020/11/is-online-e-log- book-to-discuss-our.html?m=1 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: ? pa...