1601006072

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

SHORT CASE (1601006128)

 A 55year old male toddy climber by occupation from miryalaguda came to the opd with complaints of pain abdomen and fever 


Chief complaints: 
1)pain abdomen since 10days
2) Fever since 7 days 
3)pedal edema since 7 days 

HISTORY OF PRESENTING ILLNESS:
                       Patient was apparently asymptomatic 10 days back and later developed 

-severe pain abdomen in the right upper quadrant region of abdomen ,which was sudden in onset,gradually progressive , dragging type and non radiating pain.It is aggravated on standing position and relieved for sometime upon taking medication.Not associated with nausea, vomiting,loose stools.

-And then later developed fever since 1 week which was high grade, continuous type and associated with chills and rigor. Relived mildly on taking medications.
 It is not associated with Cold,cough, shortness of breath,neck pain,giddiness,headache and sweating. 

No complaints of chestpain, palpitations and burning micturition.

He subsequently developed pedal edema in legs since 1week which is progressive in nature and seen at ankles .
PERSONAL HISTORY:
Appetite -decreased since 1 week
  Bowel and bladder-Regular
  Micturition-normal
  Addictions- 
toddyconsumption- 1litre/day since 30years
Tobacco in the form of beedi- 10/day since 30years
GENERAL EXAMINATION:
Patient is concious,coherent and cooperative sitting comfortably on bed .

He is well oriented to time, place and person 
He is moderately built and moderately nourished.
VITALS :
Temperature : afebrile
Pulse: 76 beats per min 
Regular ,No radio radial delay .
Blood pressure: 110/80 mm hg
Respiratory rate : 16 cycles /min
JVP  is normal 
Pallor : absent 
Icterus 
Mild icterus on sclera 

clubbing : absent 
Koilonychia : absent 
Lymphadenopathy: absent 
Edema : pedal edema which is progressive in nature noted in lower limbs Up to ankle.

ABDOMINAL EXAMINATION
On inspection
Shape of abdomen : Normal 
Umbilicus is inverted and central.
Movements : All the quadrants are moving equally with respiration.
Scar is present on RUQ : pig tail catheter is placed.
PALPATION:
Tenderness is noted in right upper quadrant .
There is no palpable mass in the abdomen .
Liver is not palpable .
Spleen is not palpable .

PERCUSSION:
Liver span is 11 cm.
No free fluid in the abdomen .
AUSCULTATION:
Bowel sounds are heard on auscultation 1 gurgling for every 7 secs 
CVS EXAMINATION:
S1, S2 heard.
RESPIRATORY EXAMINATION:
 Percussion  right infra axillary & infra scapular stony  dull note 
Auscultation  decreased air entry in right infra axillary & infrascapular
INVESTIGATION:
CBP :
Decrease in lymphocyte count.

chest x ray 
Right pleural effusion.

PROVISIONAL DIAGNOSIS:
Based on right upper quadrant pain and bilateral pedal edema,mild icterus my diagnosis is related to liver ,which is confirmed by ultrasound and bacterial culture reports so my probable diagnosis is LIVER ABSCESS

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