BIMONTHLY ASSESSMENT :(6/10/20). Link to online assessment questions . http://medicinedepartment.blogspot.com/2020/09/medicine-paper-for-october-2020-first.html?m=1 CASE 1 : https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html This is a case admitted in my unit , so patient is a 57 yr old male with poor lifestyle habits and obesity and chronic alocholic . It's a case of a) Decompensated liver disease secondary to chronic ethanol ingestion ,with portal hypertension (due to portal fibrosis ) and b) Bicytopenia due to hypersplenism secondary to portal hypertension and also reduced synthesis of thrombopoietin . c) With hepatic encephelopathy and D) Bilateral elephantiasis due to chronic lymphatic obstruction and bilateral cellulitis and ulcerations 1) Reason for ascitis : Liver Cirrhosis is characterized by diffuse fibrosis of liver parenchyma resulting in structurally abnormal liver nodules . The natural history of cirrhotic liver disease pro