Posts

Image
Complaints: A 13 year old male child complaints of multiple dark and white spots over both hands and legs since birth. HOPI : Patient complains of hypo& hyper pigmented spots over both upper limbs and lower limbs since birth. Gardually increasing in number and size as child grows.  No H/o itching, burning sensation, rashes, photosensitivity. H/o fever ? Rheumatic fever previously. And on treatment at present. Family history present ( grand father has similar complaints). No known drug allergies. General examination:  Patient is conscious, coherent and coopative, Well oriented to time,place and person. Vitals : stable. Wt: 54 kgs On examination: Multiple hypo and hyper pigmented macules noted over b/l palms, hands, forearms, legs, foots, soles.
Read more

bimonthly examination - march

Image
1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low?                 The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis of
Read more

BIMONTHLY INTERNAL ASSESSMENT - FEBRUARY

Image
February 21 , 2021 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 presentation: A 50 year old male diabetic farmer by occupation who had an episode of seizure 10 yrs back presented with c/o frequently walking into objects along with frequent falls,Drooping of eyelids,Involuntary movements of hands & Talking to self since 1.5 years was diagnosed with progressive supranuclear palsy. Anatomical localization: Brain B/l ptosis : weakness of levator palbebral superioris (without loss of frowni
Read more

50/M with progressive supranuclear palsy with status epilepticus secondary to hyponatremia

Image
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. Thanks to Dr. ARCHANA ( INTERN) Dr. SREEJA  ( INTERN) Dr . HARSHA  ( INTERN) Dr. KALYAN ( INTERN) Dr. SAHITHI ( INTERN) Dr. JEEHARIKA ( INTERN) Dr. RAVEEN(PGY1) Dr. AASHITHA(PGY2) Dr.ARAVIND( PGY3) Dr . VAMSHI(PGY3) Dr. HAREEN(SR) Dr.PRAVEEN NAIK (ASS.PROF)( duty on call 1) Dr.RAKESH BISWAS (PROF.AND HOD) ( duty on call 2) https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.htmlhttps://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html Dr.ABDU
Read more