This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book.Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family.

35 year old male patient resident of katamgur,toddy worker by occupation came with C/o distension of abdomen since 3 months, shortness of breath since 3 months.c/o pedal edema since 20 days.

Case blog:
http://129sowjanyaboyapati.blogspot.com/2023/07/35-year-old-male-patient-resident-of.html
Questions:
1.What is the cause of cirrhosis of liver?
Due to daily consumption of 50ml of alcohol since 20 years.
2.What is the cause of ascites in the patient:
Ascites is the build-up of fluid in the abdomen. This occurs when the liver gets irreversibly scarred, a condition known as cirrhosis. Ascites is the most common complication of cirrhosis. 
3.What is the cause pleural effusion in the patient?
In cirrhosis, pleural effusion is cause by high pressure in the portal vein (called portal hypertension). In many cases, the fluid build up starts in the abdomen (ascites) but eventually passes through holes in the diaphragm, into the chest (pleural effusion).
4.what is the cause of pedal edema?
Protein deficient states like chronic liver diseasescan result in pedal edema.
5. Patient x ray showed the clear evidence of pleural effusion?
6.what are the risk factors for development of ascites?
Alcoholism
Viral hepatitis
BMI
Chronic hepatitis c
Fatty liver disease
Diabetes
Heamochromatosis
Cardiovascular disease 







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