Sreeja Boga

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.  Case presentation:  A 45 yr female daily wage labourer came with c/o Shortness of breath since 3 days Hopi: Patient was apparently asymptomatic 3 months back Then she developed Shortness of breath which is aggravated on exertion and relieved on rest Facial puffiness and pedal edema since 3 months grade 2 putting type Abdominal distension on & off since 3 months At the time of presentation SPO2 without oxygen is 75%. H/o palpitations present No h/o chest pa

 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.  Case presentation: A 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  Hopi: patient was apparently asymptomatic 3 days back then he developed chest pain in the epigastric region which is dragging type , on & off,no radiation. Abdominal pain since 3 days continuous type,throughout the day, no radiating

  CASE 1 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html Q1  Reason for this patients ascites  a)Chronic alcoholism since 40 years  causes portal hypertension increased hydrostatic pressure causing fluid accumulation hence Ascites  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 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. 3) What was the reason for his asterixis and constructional apraxia and what was done by the treating team to address that?   A3 The increased levels of ammonia in liver failure patients causes damage to the neurons causing hepatic encephalopathy the reason for asterixis in this patient  The treatment

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.  Case presentation: A 23 year old male who is a food supplier,  CAME WITH C/O COUGH SINCE 1 WEEK AND SHORTNESS OF BREATH SINCE 4 DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 1 MONTH BACK AND  THEN HE DEVELOPED COUGH WITH EXPECTORATION AND SHORTNESS OF BREATH WAS TESTED POSITIVE FOR COVID 19 AND TOOK TREATMENT AND TESTED NEGATIVE AFTER 20 DAYS.LATER HE PRESENTED WITH SIMILAR COMPLAINTS SINCE 1 WEEK COUGH ASSOCIATED WITH EXPECTORATION WHITISH IN COLOR ASSOCIATED WITH CHEST PA