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Case Presentation On Chronic Liver Disease: Shreyas M Salimath Pharm D 2 Year REG NO. 21Q0172

The document presents a case study of a 30-year-old male patient admitted with chronic liver disease. He reported fever, abdominal pain, increased stool frequency, and headache for the past 8 days. He has a history of alcohol consumption for the past 8 years. On examination, he was conscious and oriented with stable vitals. Initial labs showed signs of chronic liver disease like low hemoglobin and elevated liver enzymes. Radiology found features of chronic liver parenchymal disease and moderate ascites. He was diagnosed with fever and exacerbation of chronic liver disease. Treatment included IV fluids, antibiotics, pantoprazole, paracetamol, probiotics, and oral rehydration solution.

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1K views18 pages

Case Presentation On Chronic Liver Disease: Shreyas M Salimath Pharm D 2 Year REG NO. 21Q0172

The document presents a case study of a 30-year-old male patient admitted with chronic liver disease. He reported fever, abdominal pain, increased stool frequency, and headache for the past 8 days. He has a history of alcohol consumption for the past 8 years. On examination, he was conscious and oriented with stable vitals. Initial labs showed signs of chronic liver disease like low hemoglobin and elevated liver enzymes. Radiology found features of chronic liver parenchymal disease and moderate ascites. He was diagnosed with fever and exacerbation of chronic liver disease. Treatment included IV fluids, antibiotics, pantoprazole, paracetamol, probiotics, and oral rehydration solution.

Uploaded by

Amalin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Case presentation on

chronic liver disease



SHREYAS M SALIMATH
PHARM D 2ND YEAR
REG NO. 21Q0172
DEFINITION

 Cirrhosis is when scar tissue replaces healthy liver
tissue. This stops the liver from working normally.
Cirrhosis is a long [ chronic ] liver disease. The most
common causes are hepatitis and other viruses, and
alcohol abuse. And other medical problems can also
cause it.
EPIDEMIOLOGY

 The epidemiology of CLD, there are 257 million
people worldwide who are living with chronic HBV.
 Without proper management, approximately 20%
will die early of liver failure hepatocellular
carcinoma. It is estimated that only 11% of infected
persons are aware of their infection, and 17% of
those people receive treatment .
PATHOPHYSIOLOGY

PATIENT PROFILE

PATIENT NAME : XYZ
AGE : 30
SEX : MALE
I.P NO. : 35791
DEPT : MEDICINE
DOA : 22/8/22
REASON FOR
ADMISSION

 C/O Fever 3 days , C/O Burning micturaltion 8 days
 C/O Abdominal pain 8 days , C/O Increased
frequency of stool 8 days , Headache since 8 days
PAST MEDICAL
HISTORY

Not a * K/C/O , DM/HTN


HISTORY OF PATIENT
ILLNESS

 PT was apparently alright 8 days back then he
developed abdominal pain which was insidious in
onset progressive in nature then he developed
increased scd frequency of stool and headache. He
gives a high fever grade 3 days back he also C/O
Burning micturation no epistanis bleeding
hematuria a meleana . No cough , no chest pain , no
abdominal pain intension
FAMILY HISTORY

 Appetite : Normal
 Sleep : adequate
SOCIAL HISTORY

 Habits : alcohol consumption since 8yr back
drank 20 days back
GENERAL PHYSICAL
EXAMINATION

 Pt is moderately built and norished consious and
oriented to TPP
 BP : 110/90 mmHg
 PT : 100 bpm
 SPO2 : 95% RA
PROVISIONAL
DIAGNOSIS

 FEVER DECREASED EVALUATION
 INCREASED UTI , INCREASED CLD
LABORATORY DATA

 HB : 10.8g/dl  RBS : 110.4
 WBC : 4700  SODIUM : 136mEq/L
 RBC : 3.20 million/ul  POTASSIUM : 3.7mEq/L
 PL : 2,02,000cells/mm3  CHLORIDES :
 ESR : 60 101mEq/L
 HIV : non reactive
 HBs Ag : negative
 DENGUE AND MP
ANTIGEN : negative

THYROID FUNCTION TEST
 RFT Sr.Urea : 17.7  Total protein test : 5.3
 Creatinine : 0.7mg/dl
 LFT :- ALT : 17.5 U/L
 Albumin : 2.0
AST : 31.2 U/L  Globulin : 3.3
ALP : 131.8 U/L  A/G Ratio : 1:1:6
BILIRUBIN
T : 0.3 MG%
D : 0.1 MG%
I : 0.2 MG%
 Radiology : urine R

 X-ray chest :

Pus cells: 1-2 / hpf


Epithelial cells : 0-1/hpf

 USG abdomen : impression – f/s/o chronic liver
parenchyma disease
 Suggested LFT carrelion
 Moderate ascites
TREATMENT CHART
DAYS
BRAND GENERIC NAME
DOSE ROUTE FREQUENCY
NAME OF DRUG 1 2 3 4 5

IVF NS with Normal saline 100ml


IV 1-0-1
optineuron mv 1amp
inj Xone ceftriaxone 1gm IV 1-0-1 √ √
inj Pan pantoprazole 40mg IV 1-0-0 √ √
inj Emeset ondansetron 4mg IV SOS √

Tab Dolo paracetmol 650mg P/O 1-1-1 √ √

Cap vibactus Lacto bacillus P/O 1-0-1 √ √


Disodium
Syrp Cital 15ml P/O 1-1-1 √ √
hydrogen citrate

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