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42yr male with Alcohol Dependance

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May 10, 2020 Hello. This is P.Ravi teja. I'm a medicine intern and I'm here to share my daily experiences here as a part of my internship completion. Today's case  42yr man who is a farmer by occupation at local village. He is married and has a son. Since past 20 years he has been consuming around 90ml/day of whiskey daily, slowly he increased the consumption to 720ml/day(one full bottle) since the last 10years. Patient has been repeatedly being getting admitted with irrelevant talk and giddiness. Last time he got admitted one week back and got diagnosed with Alcoholic Liver Disease with Alcohol Dependence Syndrome. He presented to casualty back then with similar complaints and he had hypoglycemia  with a GRBS-20mg/dl.  His last intake of alcohol was 180ml 1hr back. O/E: Patient is confused with irrelevant talk. Temp-98F PR-86bpm BP-90/60 mmHg RR-18cpm SPO2-98% GRBS-111mg/dl CVS- S1 S2+ R/S- BAE+ P/A- tenderness on Epigastric region, Bowel sounds+ Investigations :
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42 Male with Acute GE

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May 17, 2020 Hello. This is P.Ravi teja. I'm a medicine intern and I'm here to share my daily experiences here as a part of my internship completion. Today's case :  A 45 year old male came to opd with chief complaints of decreased appetite since 1 month and loose stools since 20 days HOPI  Patient was apparently asymptomatic 1 month back then developed decreased appetite , Increased chest discomfort immediately on taking food , gradually progressed Loose stools since 20 days watery consistency, normal colour  4 episodes per day not blood stained patient. but, now complains of blood stained stools 1 episode per day normal consistency since 2 days after using medication  Patient complains of generalized weakness and not able to do daily activities  Belching present  No h/o fever, vomitings, pain abdomen,chestpain,cough ,sob. Past history:  K/c/o HIV since 9 years On regular medication TLE regimen CD4+ count= 500cells/cu.mm on 4-07-2019 Pt is on INH from 1 month  No h/o Hyper
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