DECOMPENSATED LIVER DISEASE clinical case presentation

[@ajitjagtap2083]

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

[@Mitsyball]

Thankyou so much for this it helped a lot

[@natarajumididoddi5985]

I am a family practitioner in Andhra Pradesh in rural area, 76 years and great opportunity for me to learn

[@bishwomohanmishra2118]

Proud to be a student of archith boloor sir .. 3rd year mbbs student at kmc mangalore

[@brothersmind3415]

Good presentation and valuable case discussion.Thanks a lot sir..Marvelous Teachings.

[@027gayatrirashmiramansahoo]

Please make more case presentation with prof.Dr Archith sir , It will be very helpful for students like us 😊

[@ashmitajain912]

Any session with Archith sir is a blessing 🙌

[@vivekagarwal3766]

Yaa😇

[@KingKohlifans706]

My favorite sir

[@ijaziqbal1539]

great teacher...every lecture is full with wisdom

[@nikhilas5629]

The boy should learn to listen. Missed many points from sir.

[@patilomprasad6479]

Very true this guy should learn to listen

[@arfathossain8109]

we want more lecture from archith boloor sir.

[@PriyadarseMandal]

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

[@thetransferaccount4586]

nice presentation and nice guidance by doctor

[@natarajumididoddi5985]

Sir… good presentation. Please include treatment

[@sonam4455]

How do we describe chronic alcoholism or occasional alcoholism

[@medstream1963]

Hats off sir..

[@017ankitmeher9]

I feel this guy has seen marrow practical case of Rakesh Nair sir and saying whatever sir told in that video with same sequence

[@megha8783]

Lol broo have some shameee ok! He is faaar better than them! Get a life broo! Shamlesssslym posting

[@satyabratasingh3824]

😂

[@user-rp8hv1sw4y]

😂

[@dr_amulya8381]

🤣🤣

[@staytuned-rm2hk]

But I think Rakesh sir have read archit boloor sir's text book and told the same sequence in his video

[@FatimaNaeemMalik]

I chuckled on the fatty liver precipitating hepatic encephalopathy part.

[@akv41av]

Wonderful 👍

[@user-rp8hv1sw4y]

Thanks for this ❤

[@SomeshKalse]

Please make the same case video with some upto the mark Student

[@priyanshishridhar8297]

Yeah and someone who doesn’t interrupt every chance he gets and answers just anything randomly!

[@parthshahani1041]

Thank you so much sir ✨

[@selzoo2270]

Thanks sir for your valuable lecture

[@Southpaw1234]

He is clearly looking the book and answering

[@jyothipv5110]

Thank you white army ✨

[@stethowalaofficial]

Thank you so much❤

[@IHaroonAyaz]

Wow what a session 👏 love from 🇵🇰

[@gouthamk2025]

The boy need to learn more, he felt like what he teached was something that he was not heared of..

[@sabbo7069]

Infection Gi bleed Constipation Hypokalemia Hyponatremia Large volume paracentesis Met alkalosis Diuretics Hypotension High protein diet

[@parvathy_r_nair]

Thank you sir🙏🏻

[@Vipul_Delta-Orionis]

Which murmur sir said in 1:43:09 ? I didn’t understand it, thank you.

[@Thenerdgal]

Cruveilhier baungartan sign

[@mahmed5021]

Upload the complete video please

[@kranthikumarsadhula7539]

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?

[@ramakrishnankarupasamy2482]

Inj Thiamine ,b12,folic acid given or not sir

[@saralade1676]

Really helpful sir

[@harikrishnans8743]

He is looking and answering....someone is prompting

[@chandanishah6138]

hemichorea, possible infarct or hyperglycemia

[@k.kkumar2290]

Nice work bro....keep it up.. 👍👍

[@shivamprajapati827]

Spirit😂😂😂

[@user-kilrilirrlri]

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%)

[@krisshhnaa5074]

Neuro case presentation was so good…compared to this

[@priyanshishridhar8297]

Yeah cuz unlike this one they were actively listening and not interrupting every chance he gets!

[@mohitmangla4815]

can anyone please tell books of dr acrhith pdf may be

[@bagadimusic2086]

Archit baloor general medicine book

[@muhammedanjum-qi3wt]

Loss of protein in the stool or malabsorption syndrome

[@suparna_joshi]

I didnt get that " no itching means hepatocellular jaundice"????? Can anybody clear this

[@themedicalstrata9794]

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

[@pranavwankhade8968]

This guy got chance to present case to sir and I guess he blew up

[@mightguy2329]

He did well, don't guess ! listen to complete presentation and decide

[@krenoviantz9146]

no use supporting the boy's stand...he is literally surfing thru his notes while A great teacher is with him on zoom call.

[@AlexFelix-v7z]

There's a delay. Probably he was facing connectivity problems

[@Zion-1610]

Did you present any case in here...just curious

[@sabbo7069]

Megaloblastic anemia

[@vishalhadiya570]

This fellow needs to listen sir first. At every instances he is annoying.

[@KiranKumar-eq4mg]

Nutritional deficiency- sparse hair

[@lilpeeps4633]

Most common cause is alcoholic since vaccination has decreased the trends of hepatitis b n c

[@30_gowthamk55]

What's tat criteria for alcoholic

[@gouthamk2025]

Cage criteria

[@dnyaneshwarkadule501]

How to check testicular sensation sir ?

[@ramakrishnankarupasamy2482]

Just press it ,

[@messageofthemessengers443]

Don't press , not a button , hold it and squeeze slightly

[@patilomprasad6479]

1:29:46

[@sabbo7069]

DAA

[@drrahul5839]

👌🏼👌🏼👌🏼👌🏼👌🏼

[@mrranapaki]

👍

[@princesaghar]

This student needs to study harder.

[@s.b.m7858]

Bro, abhi final year ki study start kare toh 17 jaan tak ho hayegi kya? Plzz tell😥😥

[@Rock.star7777]

@@s.b.m7858 Yes Easily

[@gangsterboy5111]

He answered well only💯✌️

[@jagadeesanmymails]

Stop judging him sitting at home, at least he has volunteered to present! 🐕

[@AbhijeetSingh-nm2ll]

@@jagadeesanmymails 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.

[@medicalvision7032]

The guy is very interrupting

[@nikilatk9838]

Thank you so much Sir 😊

[@istreamkerala1]

Thank you sir❤❤❤