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BIMONTHLY EXAM

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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 sens...
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55 yr old male with pain abdomen

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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: 55 year old male patient came with complaints of fever since 10 days, pain abdomen and vomitings since today morning. patient was apparently alright 10 days back then he had complaints of high grade fever, continuous associated with chills and rigors relieved with medication ,no diurnal variation. got admitted for 4 days in private hospital and got discharged. From today morning patient is complaining of pain in the epigastrium and right ilia...
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monthly internal assessment

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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 year old male construction worker with Type 2 Diabetes mellitus who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right UL & LL  The anatomical site of lesion may be internal capsule(left sided) as it is the most common site for lacunar infarcts,also presents as hemiparesis. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are caused by occlusion of a penetrating artery from a large cerebral artery, most commonly from the Circle of Willis. These penetrating arteries arise at sharp angles from major vessels and are thus, anatomically prone to constriction and occlusion. So subc...
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