Prefinal assessment paper - 1 & 2

 Paper - 1


Paper - 2

























































































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45 year old male

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This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  Name:  G Sai Manogna Roll no 41 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with a diagnosis and treatment plan. Following is the view of my case : CASE PRESENTATION: A 45 year old male who is a construction worker by occupation resident of nalgonda came to the
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44 year old male

 DIAGNOSIS ACUTE DECOMPENSATED LIVER DISEASE SECONDARY TO ALCOHOL WITH GRADE 2 HEPATIC ENCEPHALOPATHY CASE FINDINGS C/O DRAGGING TYPE OF PAIN OF B/L LOWER LIMBS SINCE EVENING DECREASED URINE OUTPUT SINCE 15 DAYS ABDOMINAL DISCOMFORT SINCE 15 DAYS C/O SWELLING OF BILATERAL LOWER LIMBS SINCE 15 DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 15 DAYS AGO AND THEN DEVELOPED SWELLING OF BOTH LOWER LIMBS, INSIDIOUS IN ONSET, GRADUALLY PROGRESSIVE, AND ABDOMINAL DISTENSION SINCE 15 DAYS ABDOMINAL DISCOMFORT SINCE 15 DAYS C/O DECREASED URINE OUTPUT SINCE 15 DAYS H/O SEIZURES, 3 EPISODES- ONE IN DEC 2021, JAN 2022, SEP 2022 NOT USED ANY MEDICATION TONIC SEIZURES, UPROLLING OF EYES +, FROTHING FROM MOUTH + POSTURAL CONFUSION + FOR 15 MINUTES SPONTANEOUS URINATION -  SPONTANEOUS DEFECATION - VOMITINGS - LOOSE STOOLS - INCREASED DAYTIME SLEEPINESS SINCE 1 WEEK H/O INCREASED BILIRUBIN LEVELS 1 MONTH BACK HYPERPIGMENTED PATCHES (DIFFUSE) PRESENT OVER THE BODY PAST HISTORY NOT A KNOWN CASE OF HTN, DM, ASTHM
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