Monday, July 14, 2025

50M Metabolic Syn DM2 Cirrhosis Portal HTN Telangana PaJR


 14-07-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[14-07-2025 16.48] PPM 1: 
50M admitted by @PPM4 with metabolic syn and cirrhosis for further workup.
Had cellulitis 3 months back that appears to be retrospectively a lymphangitis going by his current peu de orange.
Initial diabetes diagnosed after admission for left shin osteomyelitis 15 years back.
His son was admitted with us 3 years back for unexplained portal hypertension and underwent splenectomy here. @PPM2 @PPM3 




[15-07-2025 17:04] PPM 1: The video finished before he crossed pylorus and entered duodenum but I'll assume that is also normal. Share their written report too
[15-07-2025 17:04] PPM 1: Grade 1 is doubtful
[15-07-2025 17:05] PPM 1: @PPM4says the ascitic fluid SAAG is 2.4 and cell count is zero suggestive of plain and simple portal hypertensive ascites


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