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January assignment

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/d4lLX04oL8s 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?  A. Problem presentation of this patient : . Altered sensorium with irrevelant talk since 1 day . Vomitings since one week . Fever since one week . Generalized weaknesses with decreased appetite since one month . Neck pain with headache since one month which is worsened past 8 to 15 days. Anatomical localization: lesion may be in frontal lobe.   b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? Please chart out the sequence of ev
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Icu first bed 71 year old patient

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A 32 year old patient

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A 32 year old male patient resident of suryapet came with  C/o pedal odema from 1 month and sob at rest from 1 day. Patient was apparently asymptotic 1 month back then developed B/l pedal edema sudden in onset,yellowish discolouration of eyes and decrease appetite with out any investigations they took herbal medications for jaundice for one day and got relieved from symptoms and patient started taking alcohol then after till yesterday. Pedal edema - B/l , pitting type , sudden in onset , extended upto knee. SOB - sudden in onset , . Palpitations , sweating and giddiness + , not associated with  chest pain ,Orthopnea and PND No H/o Fever , cough , pain abdomen , nausea , vomitings, loose motions or decreased urine output. N/k/c/o - HTN , DM II , TB , epilepsy, CVA , CAD. H/o surgery 2 years back - for right inguinal hernia. Personal history: Appetite normal Diet mixed Bowel and bladder regular Sleep adequate Alcoholic from 20 years(daily intake of 90ml / day) Smoker from 20 years ( 18/d
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December assignment

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  Monthly assessment  d1) 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 ? 55 year old male construction worker with T2DM who is a chronic alcoholic and smoker came with c/o weakness of right upper limb with involuntary movements of both right UL and LL secondary to ? right temporal lobe epileptogenic focus.    2  why are subcortical infarcts more common than cortical infarcts ? Subcortial infarcts are caused by occlusion of a penetrating arteries These arteries arise at sharp angles from major vessels .subcortical infarcts are more common than cortical infarcts.   3. What is the pathogenesis involved in cerebral infarct related seizures? .   4. What is your take on the ecg? And do you agree with the treating team on starting the patient on Enoxaparin?   ST depressions note
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21 year old primi

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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:  A 21 year old primi gravida with 32 weeks gestational  age came to casualty with c/ofever since 3 days and one episode of vomiting yesterday . Patient was apparently asymptomatic 3 days back  then she developed fever which was high grade associated with chills and rigor relived on medications  Vomiting content was food particles , non projectile ,non bilious or blood stained  General examination:patient is conscious,coherent ,cooperative mod
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