Elog

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...

 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...

50 yr old female, resident of choutuppal , sweeper by occupation presented to casualty with complaints of  altered sensorium since 1 hr . Pt was apparently asymptomatic 2 days back ,then she started complaining of chest pain which is , transient in the retrosternal area, lasting for 20-30 minutes and then subsided, no h/o radiation ,palpitations, sweating,giddiness. She started complaining of chest pain at 12pm today ,associated with profuse sweating ,giddiness, fell on ground and had involuntary movements in rt upper and lower limb ,after which she was unconscious for 30 min, was taken to govt. hospital 

From 15-31st May Medical leave -NA Casual leave -2 May 15- OPD 16 -prepared for case presentation on monday 18 - case presentation on CML case 19 -attended 2-4 class on acute GE 20, 21 - leave 22 -OPD 23 -studied about IPD case neurobehcets 24 - rotational Sunday duty 25 - attended 2-4 class on neurobehcets case 26 - attended class on DKA, 27 - attended class on hypovolemic shock due to acute diarrhea 28 - thesis presentation 29 -OPD 30 -prepared for CP on peripheral neuropathy 31 -sunday rounds