2nd Bimonthly internal assessment
CASE1 Q1 Reason for this patients ascites The most common cause of Ascites is Cirrhosis of liver risk factors in this patient : 1. Chronic alcoholism since 40 years 2. Truncal obesity https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092576/ Regular alcohol abuse causing cirrhosis causes portal hypertension leading to increased hydrostatic pressure causing fluid accumulation hence Ascites Q2 Bilateral pedal oedema which is of pitting type is due to decrease in the albumin level trends due to course of the disease and long standing cirrhosis causing decrease in the production of proteins causing decrease in the oncotic pressure leading to accumulation of fluid. Ulcerations are due his limited self practising manoeuvres done in inappropriate conditions such as : improper dressing of the wound, not maintaining aseptic conditions , indescriminate use of steroids (self medication) and immune suppression leading to secondary infections hence cellu