32 YEAR OLD MALE WITH ACUTE HEPATITIS SECONDARY TO ALCOHOL

DR.NAVYA(INTERN)

DR.CHETANA(INTERN)

DR.ABDUL RAHEEM (INTERN)

DR.ASHFAQ(INTERN)

DR.SRAVYA(INTERN)

DR.GNANADA(INTERN)

DR.CHARAN(PG1)

DR.VAMSI(PG1)

DR.SUSMITHA(PG2)

DR.ADITHYA (PG3)

DR.PRANEETH(PG3) 

DR.PRAVEEN NAIK (ASS.PROF)

DR.RAKESH BISWAS(HOD)


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 box is welcome.


Here is a case i have seen:
A 32 year old male patient came to the casuality with the complaints of yellowish discolouration of sclera and urine since 5 days associated with bilateral lower limb weakness since 5 days

HOPI: 
Patient was apparently asymptomatic 5 days back then he developed pain abdomen, associated with yellowish discolouration of eyes and urine, following admission in local hospital they revealed ?hypokalemia, got KCL correction. Following which he developed bilateral lower limb weakness. Then he underwent outside treatment , where his bilirubin decreased from 7 to ?3.6
N/K/C/O HTN, DM, Asthma, Tuberculosis 
Chronic alcoholic since 15 years 360ml whisky per day and 4 cigarettes per day.
No relevant family history.

General examination:
Icterus present.
No signs of pallor,cyanosis,clubbing,lymphadenopathy,dehydration 
Temperature: adebrile
BP: 120/80 mm Hg
PR: 85 bpm
RR:18 cpm
Sp0²: 96%
Grbs: 107 mg%

CVS EXAM: s1 s2 heard

RESP EXAM: centrally positioned trachea,BAE +,NVBS Heard

PER ABDOMEN: 
Scaphoid in shape, soft, non tender, bowel sounds not heard ,no palpable mass,normal hernial orificesno free fluid,no organomegaly.

CNS Examination: NAD


Provisional Diagnosis: 
ACUTE HEPATITIS SECONDARY TO ALCOHOL

Treatment:
Tab. PCM 650mg PO SOS
Inj. Optineuron 1 amp in 100ml NS IV OD
Inj. Thiamine 1 amp in 100ml NS IV OD

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