SHREYA TALLA ROLL NO 157

 This is an online E log book to discuss our patient's de-identified health data shared after taking his 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 clinical problems with collective current best evidence based inputs. CHIEF COMPLAINTS A 13yr old boy came to old with chief complaints of yellowish discoloration of the eyes, yellowish green coloured vomitings and also had yellow coloured urine since 9days. Patient history :   At birth: Patient developed jaundice and it resolved spontaneously At 8 months: He had altered bowel movements ,for 1 week he had loose stools and another week he had normal consistency.later he had loose stools every day for 2-3 days  during which he became cachetic.He got admitted in hospital and they mentioned as suspected case of celiac disease,chronic diarrhoea,chronic malabsorption. He was treated with IV 

This is a case of 44year old male diagnosed with ALCOHOLIC LIVER DISEASE(ALD) CHIEF COMPLAINTS 44 year old male came to casualty with chief complaints of fever since 1 week which is high grade and associated with chills and rigors HOPI Patient was apparently asymptomatic 12 years back, and he had history of intake of alcohol initially 90 ml g radually progress to amount of 200 ml since2 years. Patient was on alcohol which is about 200 ml initially and then the quantity increased to daily intake of 300 ml with no or minimal food intake. He had shortness of breath and also had generalised weakness. Patient became tachypneic over night(RR 18-32cpm) and also had 2 fever spikes and saturation dropped to 82% on RA and also had respiratory distress H/O agressive behaviour previously but now it got subsided Previously tremors +  Decreased appetite  yellowish discoloration of sclera is present vomiting of 1 episode , patient was admitted in outside hospital and treated as alcoholic liver diseas