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Monthly assessment _MARCH_M.NAVYA CHOWDARY

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  https://ashakiran923.blogspot. com/2021/03/60-years-old-male- fever-under-evaluation.html?m= 1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? c)Will PT,INR derangement preceed hypoalbuminemia in liver dysfunction??Share reference articles if any! d)What is the etiology of his fever and pancytopenia? e)Can there be conditions with severe hypoalbuminemia but no pedal edema? Can one have hereditary analbuminemia and yet have minimal edema? Please go this article  https://www. frontiersin.org/articles/10. 3389/fgene.2019.00336/full  and answer the question.  f) What is the efficacy of each of the drugs listed in h...
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Bimonthly assessment _MARCH

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https://ashakiran923.blogspot. com/2021/03/60-years-old-male- fever-under-evaluation.html?m= 1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? Ans: Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension About his superficial abdominal veins :  For a long term alcoholic, he could be a risk factor to develop portal hypertension, which may be present with superficial abdominal veins and varices  Other differentials include: Caput medusae due to portal hypertension Dilated veins in IVC Congenital Obstruction of IVC b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? Ans: The etiology of ...
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45 year old female abdominal distention

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  DR.NAVYA(INTERN) DR.CHETANA(INTERN) DR.ABDUL RAHEEM (INTERN) DR.ASHFAQ(INTERN) DR.SRAVYA(INTERN) DR.GNANADA(INTERN) DR.CHARAN(PG1) DR.VAMSI(PG1) DR.SUSMITHA(PG2) DR.ADITHYA (PG3) DR.PRANEETH(PG3)  DR.PRAVEEN NAIK (ASS.PROF) DR.RAKESH BISWAS(HOD) 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 45y/o female, from West Bengal, presented to casualty with complaints of abdominal distention since 2 years & pedal edema since 2 months. Patient was apparently asymptomatic 2 years b...
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