Biweekly assessment
"57 year old man with jaundice, pedal edema and abdominal distension since three years and bleeding gums since three days" https://swathibogari158. blogspot.com/2020/09/chronic- decompensated-liver-disease. html 1) What is the reason for this patient's ascites? Ans. The cause for ascitis might be cirrhosis of liver because the patient is a chronic alcoholic since 40 years. 2) Why did the patient develop bipedal lymphedema? What was the reason for the recurrent blebs and ulcerations and cellulitis in his lower limbs? Ans. Bilateral pedal oedema may be due to the decrease in the levels of albumin (long standing cirrhosis). The ulcerations are due to limited movements (improper dressings). 3) What was the reason for his asterixis and constructional apraxia and what was done by the treating team to address that? Ans. Asterixis is a clinical sign that describes the inability to maintain sustained posture with subsequent brief, shock like, involuntary movements. Th