46 years old female with C/O SOB

bimonthly examination - march March 21, 2021 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low?                 The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension wh

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:  Unit II admission on 09/03/2021  DR. JAYANTH ( INTERN)  DR. AMULYA ( INTERN)  DR. SURYA PRADEEP ( INTERN)  DR. ASHA KIRAN ( INTERN) DR. YAMINI ( INTERN)  DR. VAMSHI ( INTERN) DR. ISMAIL  (INTERN) DR. PRADEEP ( PG 1st YEAR) DR. NIKITHA ( PG 2nd YEAR) DR. SUFIYA ( PG 3rd YEAR)  DR. SATISH ( PG 3rd YEAR) Faculty : DR. VIJAYALAXMI A 56 year old male came to casualty with c/o fever since 3days. Generalised weakness, hoarseness of voice, difficul