Prefinal examination
Geetha 54.
11 march 2022 Chief complaint 40 years old male who is a fruit vendor was brought to the OPD generalised weakness and fever since 2 days back excessive sleepiness since 2 days Past history He was apparently asymptomatic till 5 years Since 5 years patient started drinking after he had financial problems He was brought to the hospital in the view of Re-addicted centre previously and was admitted for 40 days and was discharged After started drinking again after few days intermittently He was alcoholic since 6 years and he last drunk 4days ago before he get admitted in the hospital Vitals Bp-120/70 mm hg PR -125bpm GRDS-154mg/dl SpO2 -97% on RA Temp-100. 8°F Investigations Liver -16. 5cm increased in size Spleen - 13.2 cm increased in size 1) Grade III Fatty liver with mild hepatomegaly with mild caudate lobe hypertrophy Early liver parenchymal disease 2) mild Splenomegaly Provisional diagnosis DECOMPENSATED LIVER DISEASE ALCOHOL DEPENDENCE SYNDROME Patient was drows...
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