Sai Manasa

  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.  Case presentation: A 63 yr old women who is an housewife came to OPD on 22/12/2020 at 10:45 am with  C/O bilateral pedal edema since 15 days         Sob since 15 days         Decreased appetite since 10 days        Decreased urine output since 10 days         Pain during swallowing since 10 days        Pt was apparently asymptomatic 15 yrs back then  In 2005- one day she had fever and giddiness for which she went to hospital and there she was diagnosed to be Diabeti

  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 subcortical

 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.  Case presentation: A 38 yr old Male patient came to casualty on 1/12/2020 at 5:10 pm with cheif complains of pain abdomen in epigastric region since 6 days  Followed by Alcohol intake for continuous 10 days Pain abdomen is burning type, continuous , non radiating, aggrevated on intake of food and water  Associated with Vomiting 1 episode 4 days back , non bilious  H/O loose stools - 3 days back , black coloured stools, subsided spontaneously, no mucous or pus discharg