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 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


A 37Y/M came to casuality with
 
C/O pain abdomen since 4 days
associated with nausea and vomiting 

HOPI:
Patient was apparently normal 4 years back then he started alocohol consumption 90ml once in 4-5 days , toddy comsumption everday.
2yrs back H/O pain abdomen and admitted in hospital for alcoholic liver disease and got discharged then again started drinking alcohol.
3 months had similar complaints and admitted for ? pancreatitis 
10 days back patient had alcohol binge presented with C/o pain abdomen a/w nausea and vomiting 
patient is not a known case of DM/HTN 


General examination :
Patient is concious,coherent,cooperative well oriented to time and place 
No palor,icterus,cyanosis,clubbing edema,lymphadenopathy 

Temp : afebrile 
pr :70bpm 
bp:110/70mmhg
spo2:98% at RA
Systemic examination : 
CVS: 
S1S2 Heard
no thrills and murmurs
RS: 
BAE+
NVBS+
Per abdomen :
Soft 
 tenderness present in left hypochondriac region
Pain in the back of left shoulder on palpation of left hypochondriac region
no palpable mass 
bowel sounds + 
CNS: 
NFND 


CBP 
hb : 12.1
TC:7800
PC:3.6lakh
PCV: 36.3

RFT :
Sr.cr:0.7
sr.Ua:3.9
sr.ur:29
sr.na+:144
sr.k+:4.1
sr.cl-:102

LFT : 
TB:1.34
DB:0.28
ALP:202
AST:10

Amylase :996

serology- negative 

Clinical images:


Investigations:





provisional diagnosis :  ACUTE  INTERSTITIAL PANCREATITIS MINIMAL PERISPLENIC LOCULATED FLUID COLLECTION.MILD ASCITES,LEFT MILD PLEURAL EFFUSION.LEFT RENAL SUBCAPSULAR HEMATOMA.
HYPODENSITY OF RENAL POSTERIOR CORTEX ?RENAL ISCHEMIA/IMPENDING INFARCT




Treatment given :

IVF -2• Ns @100ML/HR
          2•RL
INJ.PAN 40MG IV/OD 
INJ.THIAMINE 1AMP IN 100ML NS IV OD
INJ.TRAMADOL 1AMP IN 100ML NS IV/OD 
INJ.ZOFER 4MG IV/SOS
BP/PR/TEMP MONITORING

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  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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."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. A 50yr old female came with c/o shortness of Breath (grade 2) since 20 days C/o difficulty in swallowing solids and liquids since 3 days Not able to open mouth since 1 day HOPI:  Pt was a
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This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome 47 year old male, lorry driver by occupation, came to hospital with C/O Pain Abdomen, vomitings and fever since 3 days. HOPI: Patient was apparently asymptomatic 3 days ago, and then he developed pain abdomen- intermittent, throbbing type of pain, initially in epigastric region and later progressed to diffuse type since 3 days, associated with vomitings-1 episode, non bilious, non projectile, food as the content. - Pain Abdomen increases after food/water intake - - Fever: low grade, int
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