NagaJyothi

  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 presenting with weakness of left upper limb and lower limb since 25 dec 2020 morning. Patient’s earliest recall of events date back to 26-dec -2020 morning. Patient was in his usual self, when he woke up around 6 am doing his daily routine. As he was having breakfast he felt weakness in his left upper limb as he was trying to hold the glass of water for few sips. As he was trying to stand he couldn’t feel the ground with

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: 36 yr old woman from narketpally, coolie by occupation came with  c/o pain in bilateral upper limbs and lower limbs since 1 week. Unable to walk  without support since 5 days. Unable to sit without support since 5days .  Unable to hold chappal since 5 days . Patient works as a coolie at narketpally, Nalgonda District. She attained menarche at 13 years of age and got married when she was 15 years of age. Her husband works as a coolie and they

  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 ?  Ans: weakness of right upper limb with involuntary movements of both right Upper Limb & Lower Limb  secondary to ? right temporal lobe epileptogenic focus.  he is chronic smoker and alcoholic with type 2 diabetes  anatomical site :Temporal lobe  2. Why are subcortical internal capsular infarcts more common that cortical infarcts? ANS: Large subcortical infarctions may be due to cerebral embolism and cause cortical signs more frequently than small subcortical infarctions, which usually result from small-vessel disease and are not associated with cortical findings.  some studies  evaluated 51 consecutive patients with a subcortical infarct on CT that was 1.5 cm or larger for a potential carotid or cardiac source o