Thesis

  Serum Albumin Ascites Gradient In The Etiological    Diagnosis of Ascites.

https://drive.google.com/file/d/1M4UQwNwb4e-u5DqwqP9NFtGwpAxsxtph/view?usp=drivesdk

Comments

Post a Comment

Popular posts from this blog

Ascitis

Image
 A 29 year old female from presented to us to opd on a wheel chair with complaints of                                chest pain                   abdominal  distension  since 1 month. History of present illness :  Patient was apparently asymptomatic one month back then she developed  chest pain on the left side stabbing type non radiating since one month and abdominal  distension gradual in onset progressive in nature since 1 month associated with shortness of breath grade 2 to 3 No history of pedal edema, palpitations , orthopnea and PND No history of constipation, Nausea , vomitings or diarrhoea No history of  fever ,  weight loss, cough No history of  hematemesis, melena, or yellowish discoloration of eyes. Going back to her history:  She got married in  2015 and  Concieved   in the m...
Read more

Pedagogy and critical appraisal

  Pedagogy topic : Multiple Myeloma  Evidence based Medicine and Critical appraisal of the article : Objective : To investigate whether endovascular thrombectomy alone is noninferior to intravenous alteplase followed by endovascular thrombectomy for achieving functional independence at 90 days among patients with large vessel occlusion stroke . Design : Multicenter, randomized, noninferiority trial conducted at 33 stroke centers in China.  Enrollment took place from May 20, 2018, to May 2, 2020. Patients were enrolled and followed up for 90 days (final follow-up was July 22, 2020). Patients : Patients (n = 234) were 18 years or older with proximal anterior circulation intracranial occlusion strokes within 4.5 hours from symptoms onset and eligible for intravenous thrombolysis. Intervention:  Patients were randomized to the endovascular thrombectomy alone as one arm and other arm as combined intravenous thrombolysis with IV alteplase and endovascular thrombectomy. C...
Read more

Internal assesment 5/9/2020

  1)1 Anatomical diagnosis : Renal system as decreased urine output and albuminuria ( explaining her B/L pedal edema abdominal distension and fascial puffiness : Glomerular pathology Etiological diagnosis: systemic illness Hypertension ,Diabetes causing diabetic nephropathy( nephrotic range proteinuria in a diabetic is taken as diabetic nephropathy unless otherwise proven) 2)Reason for azotemia : No hydroureteronephrosis with normal renal size and intact parenchyma with abnormal urine analysis : Hematuria and proteinuria ( glomerulonephritis /vasculitis) ? Glomerulonephritis reason for azotemia. Anemia : Looking at her peripheral smear microcytic hypochromic anemia : Iron deficiency anemia. Hypoalbuminemia: proteinuria ( because of glomerular barrier damage)causing hypoalbuminemia. Acidosis: high anion gap metabolic acidosis ( failure to excrete acids) Acute / Chronic renal failure. 3) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946919/ Chronic metabolic acidosis may have various...
Read more