GM CASE PRESENTATION

CASE SCENARIO

Hi, I am SUPRIYA KASHI , of 3rd BDS student.
This is an online eblog to discuss our patients health data taking after his consent . This also reflects my patient centerd online learning portfolio..
                           CASE HISTORY
Patient details
A 37 yrs old male , resident of suryapet nd works as a jr assistant in a social welfare association ..
Chief complaints
Patient was admitted in the hospital to get rid of alcohol and tobacco addiction ..
History of present illness
Patient was apparently asymptomatic 16 yrs ago and he's been consuming alcohol and tobacco from 2008 . Patient developed few symptoms after sudden stopage of alcohol ... Are 
Fever ( high grade , intermittent ,) with chills from 8 days
Vomiting ( thick consistency , watery content)
More than 5 times daily since 8 days
Loose stool from 5 days..
   
Aggrevating factors: epigastric pain while standing & walking
Relieving factors : relieved on medication
History of past illness : 
Patient was diagnosed with Type 2 Diabetes mellitus 6 months ago & took medication ( gemer1) for 3 days then discontinued. He started this medication again 1 week. 
No hypertension
No thyroid 
Family history: 
None of their family members have diabetes and any other diseases.
Personal history:
He is a jr. asst. in the social welfare society and married . He's a alcohol and tobacco addict, he observed that he had abdominal and epigastric pain so he stopped and wanted to decrease alcohol dependence. 
Diet        :  mixed 
Appetite:  normal
sleep      : normal 
Bowels.  : loose stools
Micturation: normal 
Addictions: Takes acohol 15-16 units per day and tobacco in the form amber 1 packet per day from 16 years , lately took alcohol occasionally and he stopped to get clean . 

General examination:
Moderate built/ well nourished
Conscious and cooperative 
Pallor- no
Icterus-no
Cyanosis -no
Clubbing - no
Jaundice-no
Edema-no
Lymphoedenopathy -no

Vitals : 
Temperature - 99.2°F 
Pulse rate- 98 bpm 
B.P-110/70
GRBS - 99md/dl 
Provisional diagnosis:
Fatty liver
Investigations:
Definative diagnosis : 
fatty liver grade 2
Treatment : 


 Question  :  
Can we also call this as " withdrawal syndrome " as he stopped alcohol suddenly?


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