MONTHLY INTERNAL ASSESSMENT - JANUARY
26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? ans) presented to casualty in a state of altered sensorium & irrelevant talk History of B/L hand small joint pains 6 yrs back Multiple joint pains 3 yrs back and diagnosed as SLE and using treatment which she stopped 10 days ago. C/o headache since 1 month which increased in last 10 - 15 days associated with vomitings since 1 week and fever, neck pain , generalized weakness since 4 days and altered sensorium with irrelevant talk since 1 day. Anatomical localization: Headache,neckpain, fever: tubercular meningitis Acute infarct in thalamus Hyponatremia -kidney b) What is the etiology of the current problem and how would you as