68 Naga Meghana

https://nagameghana68.blogspot.com/ OSCE   1.How sugar turns into fat in liver? Since your body can only store  required glycogen, if you eat a lot of sugar more than your muscles and liver can hold at one time—your body needs another place to put the excess. In that case, it converts that extra glucose into fat through a chemical process called lipogenesis. This fat is stored under the skin (subcutaneous fat), around your abdominal organs (visceral fat), or in certain other organs such as your liver. If glycogen is like a checking account, then fat is your body’s savings account. It hangs onto this fat in case you use up your glycogen stores. Sugar isn’t the only compound your body can turn into fat. If you eat too much protein, the extra protein gets stored as fat, too. Like sugar, protein contains calories, so if you take in more calories than you burn, the excess protein is converted first into glycogen and then into fat. Still, you’re more likely to store sugar as fat than protein

This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients’ clinical problems with collective current best evidence-based inputs.  This e-log book also reflects my patient centred online learning and your valuable inputs on comment box is welcome. I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan. A 55 yr old male from suryapet  came with chief complaints of generalized body swelling since 15 days,shortness of breath since 15 days, decreased urine output since 10 days. History of presenting illness: Patient was apparent