Vineeth kumar bandi

 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: CASE DISCUSSION A 35 year old male who is a farmer came with the complaint of pain in epigastric region(after his last binge of alcohol) from past 6 days which was burning type,radiating to peri umbilical and not aggravated or relieved with food intake but was associated with nausea and vomitings. Vomitings were non bilious,non projectile and was of food particles and not blood stained. No H/o fever,loose stools,constipation,pedal edema,abdo...

  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: Case Discussion: A 18y old male who is a student, presented with complaints of pain abdomen from past 4 months occuring intermittently. He also complaints of vomitings along with pain abdomen Pain was dull aching localising to peri-umbilical region with no aggravating factors or relieving factors After pain subsides patient complaints history of loose stools which was small in amount for next 2-3 days with 4-5 episodes per day. Stool was mu...

  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?  Ans.  The cause for ascitis might be cirrhosis of liver as the patient is history alcohol intake since 40 years. 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. Bilateral pedal oedema may be due to the decrease in the levels of albumin because of improper functioning of liver (long standing cirrhosis).  The ulcerations are due to limited movements (improper dressings).  3) What was the reason for his asterixis and constructional apraxia and what was done by the treating team to address that?   Ans. Asterixis is a clinical sign that describes the inability to maintain sustained posture with ...