Key info Problem Hypothesis Learning issue

Day I Part I  Weakness Stress  Anatomy of liver

 Sandeep, a medical student, board examination  Decreased appetite Insomnia and gall bladder
approaching soon, working really hard, but he is not  Mild fever Hypersensitivity reaction  Causes of Icterus
able to do so.  Body aches Jaundice  Jaundice,
 feeling unusually weak, has decreased appetite,  Itching over body Hemolytic disease (Anemia) classification,
mild fever and body aches since last few days, has  Yellowish tint in eyes Excess bile salt release etiopathogenesis
some unusual itching over his body. and skin Obstruction of common bile  Bilirubin
 developed a yellowish tint in his eyes and skin duct/ Stones formation synthesis,
 has become very weak so they take him to the metabolism
hospital.
Day I Part II  Icteric Cancer of liver  Examination of
 deep pain in his right abdomen (Liver)
 Sandeep is icteric, asks him where he is from, his upper abdomen  Causes of tender
food habits, travel history, and if he drinks alcohol,  liver enlarged and and non-tender
if he is taking medications for any other illness, has tender hepatomegaly
received blood transfusions, or had any surgeries in 
the past, any abuse of IV drugs and his sexual
activities
 are all surprised when he asks Sandeep about the
color of his stool and urine
 palpating Sandeep's abdomen, Sandeep feels deep
pain in his right upper abdomen, his liver is slightly
enlarged and tender.
Day I Part III   Functions of liver
Liver function test
 sent for Liver Function Test and some other Causes of pruritus
hematological investigations
 advises to avoid analgesics and anti-pyretic advises
to take rest and normal diet and come for follow up
with the reports.
 Day II Part I  Hypoproteinemia Hepatocellular 
His report was as follows:  Decreased albumin injury
Parameters Observed Reference Range  PT increased
Total Protein 5.1 6-8 gm/dl  Increased Bilirubin
Albumin 2.8 3.5-5.2 gm/dl  Increased ALT, AST,
Prothrombin time 22 11-16 sec ALP
Bilirubin
Total
Direct
5.6 mg/dl
3.8mg/dl
0.2 to 1.0 mg/dl
<0.2 mg/dl
ALT 1200 U/L < 45 U/L
 AST 800 U/L < 35 U/L
 ALP 45 IU/L15-41 IU/L

 Day II part II  Viral hepatitis Viral Hepatitis
most likely suffering from Viral Hepatitis. Sandeep recalls and its types
that there are various agents which can infect the liver.
curious why is it viral and which particular type of virus is he Morphology of
infected with?
sent some viral serology tests which will take some extra
virus
time. Lab diagnosis of
the virus(Vaccine)

Terminologies

Ground rules
Be punctual
Speak one at a time
Respect peers views
English mandatory