Nikitha Reddy

Case 1: Q1 What is the  Reason for this patients ascites ?       The most common cause of Ascites is        Cirrhosis of liver        risk factors in this patient :       1. Chronic alcoholism since 40 years       2. Truncal obesity leading to metabolic syndrome causing NAFLD leading to cirrhosis           https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092576/ Altered echo texture of liver due to Cirrhosis causes portal hypertension leading to increased hydrostatic pressure causing fluid accumulation hence Ascites  Q2  Bilateral pedal oedema which is of pitting type is due to decrease in the albumin level trends due to course of the disease and long standing cirrhosis causing decrease in the production of proteins causing decrease in the oncotic pressure leading to accumulation of fluid. as per the given clinical data due to chronic liver disease there was increasing trend of INR which was as high as 4.7 causing bleeding manifestations ( bleeding gums, hematoma formation ) ulcerations a

 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. A 38 yr old male who is a motor dweller came to op with c/o abdominal distension, loss of appetite, loose stools since 1 week  Pt was apparently asymptomatic 1 week back then he developed distension of abdomen and flanks are full not associated with pain  Loose stools of 5 to 6 episodes mucoid in consistency, small quantity and no  foul smelling Feeling of complete defecation + No history of loss of taste sensation No H/ of pain abd , vomtings, haematemesis, bleeding