Navya.M

 60 year old male came with cheif complaints of both upper limb and lower limb weakness since 3days HOPI: Pt was apparently asymptomatic one and half year back , developed vomitings 3_4 episodes associated with giddiness and weakness ,then he was diagnosed with hypertension. After 6months he developed a wound with delayed healing then he was diagnosed with DM_2  5days back he suddenly developed left sided weakness after he had his lunch associated with deviation of mouth towards rt side and slurring of speech K/c/o of HTN since 11/2 year on atenolol 50mg OD k/c/o of DM since 1 year on metformin 500mg OD He is an occasional toddy intaker  H/o smoking :1 chutta/day O/E  Temperature: afebrile  PR:55bpm RR: 14cpm BP: 140/90mm hg spo2_99  GRBS_ 171MG percent No signs of pallor, icterus, cyanosis, clubbing, koilonychia. CVS: S1S2 HEARD RS: BAE PRESENT, P/A:Soft ,non tender,Bowel  sounds present. CNS: HMF: normal speech: slurred No signs of meningeal irritation. Tone:              Right.     

 60/M presented with a 1 week history of malaise, diffuse muscle aches, distention of abdomen, loss of appetite and increased urine output.  An agile farmer whose work involves tilling lands and working barefooted in muddy waters (infested with rats), the patient recalls being well until a week ago, when he developed fever with loss of appetite. His fever was low grade, with a mild evening rise and associated with loss of appetite. At this point he consulted a doctor who prescribed symptomatic treatment which provided quick relief. However, he continue to have loss of appetite and since the last 4 days he has been having fatigue and muscle aches. He denies having involuntary weight loss, vomiting, altered bowel habits, jaundice or altered taste. His past history is significant for Chronic Diabetes and Hypertension for which he uses Telmisartan 40 mg + Hydrochlorothiazide 12.5 mg. He has been using Glibenclamide 5mg and Metformin 500mg. His dietary adherence to salt and sugar restrictio

 

  Case:1 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here:  https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation  links:  https://youtu.be/kMrD662wRIQ   a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? Problem representation: Problem to be attended: Seizures Frequent falls Ptosis Self talk Tremors Diabetes Anatomical localization: Brain B/l ptosis :there is no loss of frowning which may indicate  weakness of levator palbebral superioris self talk ,may be his problem is 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 events timeli

DR.NAVYA(INTERN) DR.CHETANA(INTERN) DR.ABDUL RAHEEM (INTERN) DR.ASHFAQ(INTERN) DR.SRAVYA(INTERN) DR.GNANADA(INTERN) DR.CHARAN(PG1) DR.VAMSI(PG1) DR.SUSMITHA(PG2) DR.ADITHYA (PG3) DR.PRANEETH(PG3)  DR.PRAVEEN NAIK (ASS.PROF) DR.RAKESH BISWAS(HOD) 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 60 year old male who is a band drummer presented with c/o right sided weakness since 6 days  H/o seizures -6days back  Pt was apparently asymptomatic 7 years back later he developed fever and inci

DR.NAVYA(INTERN) DR.CHETANA(INTERN) DR.ABDUL RAHEEM (INTERN) DR.ASHFAQ(INTERN) DR.SRAVYA(INTERN) DR.GNANADA(INTERN) DR.CHARAN(PG1) DR.VAMSI(PG1) DR.SUSMITHA(PG2) DR.ADITHYA (PG3) DR.PRANEETH(PG3)  DR.PRAVEEN NAIK (ASS.PROF) DR.RAKESH BISWAS(HOD) 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: 61 year old male with Chief complaints of  grade 2 SOB and cough with expectoration since one week.  HOPI:patient was apparently asymptomatic week back then he had fever, cold, cough, shortness of br

  DR.NAVYA(INTERN) DR.CHETANA(INTERN) DR.ABDUL RAHEEM (INTERN) DR.ASHFAQ(INTERN) DR.SRAVYA(INTERN) DR.GNANADA(INTERN) DR.CHARAN(PG1) DR.VAMSI(PG1) DR.SUSMITHA(PG2) DR.ADITHYA (PG3) DR.PRANEETH(PG3)  DR.PRAVEEN NAIK (ASS.PROF) DR.RAKESH BISWAS(HOD) 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 45y/o female, from West Bengal, presented to casualty with complaints of abdominal distention since 2 years & pedal edema since 2 months. Patient was apparently asymptomatic 2 years back.Then