DECOMPENSATED LIVER DISEASE clinical case presentation
ฝัง
- เผยแพร่เมื่อ 5 ก.พ. 2025
- #ComprehensiveClinicalClass
Decompensated Liver Disease
case presentation by Mr.Ritwik, Hi-tech Medical College, Bhubaneswar.
Mentor: Prof. Archith Boloor, KMC Mangalore.
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Conditions precipitating Hepatic encephalopathy
1. UGI bleed
2. Decreased stool frequency
3. Hypokalemia ( maybe cause of 2)
4.SBP
5. Metabolic alkalosis
6. Alcohol binge again
7. New onset Hepatitis b/c/a/e
8.large volume parecentesis without albumin cover with renal failure
9. Diuretic overdose with potential hypokalemia.
10. High protien diet
Thankyou so much for this it helped a lot
Kudos to sir for being soo patient
19:09 why colour of urine change on standing...oxidation
In hemolytic jaundice
No itching stools normal color
20:14 obstructive jaundice clay colored stool and itching....flow of bile is blocked ....itching bile salts saponification of bile salts
21:37 acute onset of hepatocellular jaundice causes
Viral hepatitis alchohol drug
23:03 fever sbp what other symptoms pain abdomen hepatitis malaria lepto dengue
25:27 other cause of fever in already hepatitis pt hcc cirrhosis metabolism of tnf
28:10 sleep pattern altered
28:59 what ppt the he commonest cause ugi bleed
2nd cause constipation
3rd electrolyte disturbances hyponatremia
32:08 met alkalosis ammonium ions infection encephalopathy
Renal failure
Treat the ppt factor to treat he
36:04 what was the ppt factor during jaundice last time
Drug induced liver injury
48:49 family history Wilson alpha 1 antitrypsin
49:16 personal history disturbed sleep he chronic. Alcoholic 150ml every day
Cage questionnaire for alchohol dependence
God bless you
Good presentation and valuable case discussion.Thanks a lot sir..Marvelous Teachings.
I am a family practitioner in Andhra Pradesh in rural area, 76 years and great opportunity for me to learn
Proud to be a student of archith boloor sir .. 3rd year mbbs student at kmc mangalore
Any session with Archith sir is a blessing 🙌
Yaa😇
My favorite sir
Please make more case presentation with prof.Dr Archith sir , It will be very helpful for students like us 😊
The boy should learn to listen. Missed many points from sir.
Very true this guy should learn to listen
great teacher...every lecture is full with wisdom
I chuckled on the fatty liver precipitating hepatic encephalopathy part.
we want more lecture from archith boloor sir.
How do we describe chronic alcoholism or occasional alcoholism
He is clearly looking the book and answering
nice presentation and nice guidance by doctor
Wonderful 👍
Thanks for this ❤
I feel this guy has seen marrow practical case of Rakesh Nair sir and saying whatever sir told in that video with same sequence
Lol broo have some shameee ok! He is faaar better than them! Get a life broo! Shamlesssslym posting
😂
😂
🤣🤣
But I think Rakesh sir have read archit boloor sir's text book and told the same sequence in his video
Hats off sir..
Please make the same case video with some upto the mark Student
Yeah and someone who doesn’t interrupt every chance he gets and answers just anything randomly!
Thank you so much sir ✨
Thank you so much❤
Thanks sir for your valuable lecture
Thank you white army ✨
The boy need to learn more, he felt like what he teached was something that he was not heared of..
Thank you sir🙏🏻
Upload the complete video please
Wow what a session 👏 love from 🇵🇰
Nice work bro....keep it up.. 👍👍
Sir… good presentation. Please include treatment
❤❤❤
Infection
Gi bleed
Constipation
Hypokalemia
Hyponatremia
Large volume paracentesis
Met alkalosis
Diuretics
Hypotension
High protein diet
Sir, I have a case who had delirium tremens and deranged LFT with myopathy. we have given sufficient benzos, 2 weeks are already over, LFT has come down to normal, but still, difficulty in walking, slurring, disorientation at times, and memory deficits are there. MRI- Basal ganglia, red nuclei, substantia nigra region, some susceptibility is there, along with moderate cerebral atrophy and mild cerebellar degeneration. Hemat- shows neutrophilia, LFT, KFT, vitamin levels, and electrolytes are normal. Autoimmune profile- scl +, urine K+, and Cl_ were in the lower range. Any thoughts about the differentials?
Inj Thiamine ,b12,folic acid given or not sir
This guy got chance to present case to sir and I guess he blew up
He did well, don't guess ! listen to complete presentation and decide
no use supporting the boy's stand...he is literally surfing thru his notes while A great teacher is with him on zoom call.
There's a delay. Probably he was facing connectivity problems
Did you present any case in here...just curious
hemichorea, possible infarct or hyperglycemia
Really helpful sir
Neuro case presentation was so good…compared to this
Yeah cuz unlike this one they were actively listening and not interrupting every chance he gets!
He is looking and answering....someone is prompting
Which murmur sir said in 1:43:09 ? I didn’t understand it, thank you.
Cruveilhier baungartan sign
Spirit😂😂😂
in Hutchison, whisky & gin are considered under spirit with 40% alcohol by volume
•followed by wine(12%)
•very strong lagers(6%)
•standard-strength beer(3.5%)
I didnt get that " no itching means hepatocellular jaundice"????? Can anybody clear this
If it was obstructive jaundice then bile would have precipitated in the subcutaneous tissue causing itching, but in case of hepatocellular jaundice, liver cells are damaged so they do not produce conjugated bile well enough for it to deposit in the subcutaneous tissue. Thats why no itching means cause is hepatocellular
@@themedicalstrata9794 in Hepatocellular jaundice both conjugated and unconjugated biliribin are raised
This fellow needs to listen sir first. At every instances he is annoying.
Loss of protein in the stool or malabsorption syndrome
can anyone please tell books of dr acrhith
pdf may be
Archit baloor general medicine book
Megaloblastic anemia
What's tat criteria for alcoholic
Cage criteria
Nutritional deficiency- sparse hair
How to check testicular sensation sir ?
Just press it ,
Don't press , not a button , hold it and squeeze slightly
1:29:46
Most common cause is alcoholic since vaccination has decreased the trends of hepatitis b n c
👌🏼👌🏼👌🏼👌🏼👌🏼
👍
DAA
The guy is very interrupting
This student needs to study harder.
Bro, abhi final year ki study start kare toh 17 jaan tak ho hayegi kya? Plzz tell😥😥
@@s.b.m7858 Yes
Easily
He answered well only💯✌️
Stop judging him sitting at home, at least he has volunteered to present! 🐕
@@Truth6969 not judging him from home. Judging him based on other case presentations people have given on this very channel.
Atleast while presenting to such a great faculty like Dr.Archit Baloor, the student should be on point and nothing short of excellent.
Thank you so much Sir 😊
Thank you sir❤❤❤
1:23:00