Posts

Bimonthly internal assessment

Image
  26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html Case presentation  links:  https://youtu.be/fz9Jssoc-mA https://youtu.be/d4lLX04oL8 https://youtu.be/CSCxw2zp7Oc a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? problem: • headache 1 -2 times /week since 1 month and along with neck pain  • both hands small joint pain and later elbow and shoulder involved. she diagnosis as SLE •  she present to causality with altered sensorium and irrelavent talk  • history of vomittings and generalised weakness ,decreased appetite ,unable to walk  • history of low grade fever and joint pain  Anatomical location  : she has low grade fever,chronic headache along with neck pain and altered sensorium.....suggested may be problem in the 
Post a Comment
Read more

Bimonthly internal assessment

Image
  1) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here: http://ushaindurthi.blogspot.com/2020/11/55-year-old-male-with-complaints-of.html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? A.55 Y M patient who is a mestri worker came with c/o inability to move his right upper limb and episodes of seizures.He is a chronic alcoholic and beedi smoker since 35 years. Lesions may be seen in left fronto parietal temporal and occipital lobes.mostly temporal region. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? A. small subcortical infarcts (RSSIs) mostly result from the occlusion of a single, small, brain artery due to intrinsic cerebral small-vessel disease (CSVD). Some RSSIs may be attributable to other causes such as cardiac embolism or large-artery disease, and their association with coexisting CSVD and vascular risk factors may vary with morphological magnetic reso
Post a Comment
Read more

Harshith’s ELOG

Image
Jan 15 2021 This is an 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen :  75 year old house wife  resident of kasthala ,came to casualty with complaints of pedal edema and shortness of breath since 10 days   History of present illness :  Patient was apparently asymptomatic 15 days back,then developed loss of appetite  and started taking less food,followed which she was taken to govt hospital (gave some medication) following which she ate well and developed pedal edema,which was gradual,progressive and
Post a Comment
Read more