Roshini bala

 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: 38 year old male ,auto driver by occupation resident of miryalagudem presented with yellowish discoloration of eyes since 15 days Abdominal distension since 10 days  Patient was apparently asymptomatic 15 days ago  Patient had alcoholic binge for 2 days - 15 days ago , following which he developed yellowish discoloration of eyes , urine since 15 days  Abdominal distension since 15 days gradually progressive  Decreased urine output since 15 days  H/o

 BIMONTHLY INTERNAL ASSESSMENT - NOVEMBER November 17, 2020  CASE : 1 1) "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. https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  Pain abdomen:  1.pancreatitis secondary to ? chronic alcoholism 2.perforated peptic ulcer 3.Inferior wall MI ( epigastric pain) Oliguria: Acute kidney injury Acute tubular necrosis  SOB ( lungs or heart):  AKI leading to fluid overload and heart failure. Pancreatitis leading to pleural effusion / ?ARDS Sequents of events: 1.congenital bow leg deformity Alc