20-01-2023
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.
PATIENT HISTORY: Patient is a 52yr old male doing business supplying small machine parts.
At the age of 12yrs, he c/o anorexia, incomplete evacuation of stool, and acidity. He was taken to a local doctor who detected hepatomegaly and prescribed medications, taking which resolved his symptoms within a few days.
At the age of 13, he c/o high fever (103-104F), headache, and general body weakness lasting for 3-4 days, resolved with medications. 2 yrs later it happened again.
In 2020, one day when he went to a function, where he ate lot of fries, chicken and sweets. After returning home at night he started c/o localised intense pain in the right upper quadrant. The pain was increasing as the night progressed and taking medication for gas did not help. The next day his pain became unbearable and got admitted in a hospital, wherein he was injected with medication to relieve the pain. His pain reduced slowly. USG was done which detected Gallstone.
He went to a doctor who did a Laparoscopic Cholecystectomy. He had no complaints after that.
In 2022 he c/o localised mild pain inupper right quadrant. Initially the pain would occur at any time of the day 1-2 times daily and would last 10-15 mins. Mostly after dinner when he went to sleep and in a supine position. On tossing and turning to either side slowly the pain would disappear after 10-15 mins. For the past few weeks the pain occured 4-5 times a week. Doctor prescribed paraetamol which reduced pain temporarily. Then USG and CT abdomen were done which revealed a liver abscess. Doctor performed USG guided Percutaneous drainage, but during a follow up, doctor told there had been not much improvement and he would need a laparoscopic drainage of liver abscess. He didn't go for any further consultation.
Patient reported for the past few months he is passing brown greasy stools.
For the past 15-20 days, he is experiencing incomplete evacuation of stools.
After being diagnosed with a liver abscess he lost 4-5 kgs of weight which he regained in the past few months.
Patient denied any history of HTN or DM.
