Aakansha Raj

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's a case that I have seen -  A 35 year old labourer, a father of two, presented to the OPD with the complaints of pedal oedema (upto the ankle) facial puffiness and abdominal discomfort since 3 days.  He was apparently assymptomatic 3 months back. Then he developed pedal oedema for the first time for which he visited the RMP who prescribed Torsemide. The oedema subsided after taking the medication. The patient got the confidence that it will decrease everytime

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's a case that I have seen -  45 year old labourer from Nakrekal presented with the chief complaints of pain in the throat and difficulty in swallowing since 1 day for both liquids and solids. H/O change in the voice present.  There is H/O expectoration since 1 day. It is non-purulent, non-blood stained in nature, associated with cough.  H/O loss of appetite since 3 days due to pain in the throat H/O decreased urine output since 1 day.  H/O burning mucturition,

  "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 because the patient is a chronic alcoholic 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 (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 subsequent brief, shock like, involuntary movements. This