March monthly assessment

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Bimonthly assessment- october

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https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1.Cause of ascites Cirrhosis with Portal hypertension The accumulation of ascitic fluid represents a state of total-body sodium and water excess Hypoalbuminemia and reduced plasma oncotic pressure favor the extravasation of fluid from the plasma to the peritoneal fluid. 2. The relationship between cellulitis and lymphoedema appears to be a vicious cycle; a pre-existing lymphatic defect predisposes to cellulitis, episodes of cellulitis damage the lymphatic system.   lymphoedema predispose to recurrent episodes of cellulitis. Repeated episodes of cellulitis are common with lymphedema.  Cellulitis is a bacterial infection of the deeper layers of skin and the fat and soft tissue layers under the skin. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804019/ 3. https://jnnp.bmj.com/content/63/3/279 Asterixis or “liver flap” and constructional apraxia are often present in the earl...
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Internal assessment

 1 .AKI secondary to ?Nephrotic syndrome secondary to uncontrolled diabetes mellitus, hypertension with Anemia https://www.ncbi.nlm.nih.gov/books/NBK538145/  2. Azotemia due to worsening of third spacing from intravascular depletion (pedal edema , ascites) and poorly controlled diabetes and hypertension  Anemia due to decreased levels of erythropoeitin which is produced in kidney  Hypoalbuminemia due to damage to glomerulus which increases albumin loss in urine. Chronic diseases like hypertension and diabetes also lead to albuminuria  Acidosis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648741/  Acidosis due to decreased tubular reabsorption of bicarbonate and its decreased production in relation to amount of acid synthesized   3. Sodium bicarbonate to correct acidosis  Kcl to correct hypokalemia . Actrapid insulin for management of diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341062/ https://pubmed.ncbi.nlm.nih.gov/14760...
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Thesis

 SERUM URIC ACID LEVELS IN TYPE 2 DIABETES MELLITUS AND ITS ASSOCIATION WITH CARDIOVASCULAR RISK FACTORS  Aim :  To study the effect of serum uric acid levels in type 2 diabetes mellitus and its association with cardiovascular risk factors.  Objectives :  To compare serum uric acid levels with other CVD risk factors (hypertension,dyslipidemia,obesity,smoking)among type 2 diabetic subjects.  To compare duration of diabetes and serum uric acid levels Sample size :140 Inclusion criteria : Patients with type 2 diabetes mellitus (irrespective of their glycemic status and duration of diabetes).  Patient’s age > 40 years.  Both sexes were included Exclusion criteria : Patients with the following conditions were excluded from the study   Age <40 yrs Renal failure.  On long term diuretics and steroids.  Chronic Alcohol consumers.  On antimetabolite and chemotherapy drugs.  Hepatic disorders.  Renal transplant pati...
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