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VANDANA REDDY

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BIMONTHLY INTERNAL ASSESSMENT FOR THE MONTH OF JANUARY 2021 January bimonthly assessment exam 2021        26yr old women came with complaints of altered sensorium since 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/d4lLX04oL8s 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? Pt has complaints since 1 month she has headache 1-2 times per week relieved on medication .but the headache worsened in the past 15 days .,  c/o Heaeache since 8 days- in bitemporal vertex region  has been aggrevated since 1 week . After stopping using steroids she has fever since 4 days- low grade not associated with chills and rigors.  vomitings since 1 week (multiple episodes). She has generalise
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VANDANA REDDY

A 35 year old man came to our hospital for continuation of Maintenance Hemodialysis.  The patient first developed hematuria, red casts in urine and decreased urine output 1 year ago. These symptoms gradually progressed and he also started developing frothy urine. He denied nocturia, polyuriaz chyluria, dysuria or pyuria. He also denied history of fevers, weight loss or myalgias at that point.  This clinical syndrome progressed to a point where his urine output was reduced to a few ml.  At this point he sought a consultation with a nephrologist where he was diagnosed to have ESRD and also secondary hypertension.  The patient was on Hemodialysis at Hyderabad Kidney Centre and also got an AV Fistula on his left forearm.  Expenses there proved troublesome and since the last 4 months he has been occasionally coming to this hospital for hemodialysis.  Since the last 4 months, the patient started having loss of appetite and weight loss. He says that he had loss of appetite prior to initaition
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VANDANA REDDY

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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: 26yr/m btech,completed 3yrs back non alcoholic and a non smoker , developed vomitings 4-5episodes on23rd December: yellow colored,non bilious,non blood stained contained foodparticles/water. Thenafter patient used to have vomitings every day 2-3episodes or at times multiple episodes for  one &half month i.e till feb 11th    After 15days of onset of vomitings i.e in January patient went to Suryapet hospital and there for the first time he w
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VANDANA REDDY

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  December 2020  1.55 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. Patient presented with right sided hemiparesis with multiple episodes of focal seizure involving right upper limb and lower limb with up rolling of eyes followed by gtcs,lesion might be in left parietal area(cerebral cortex) and seizures due to infarct.  2.Why are subcortical internal capsular infarcts more common that cortical infarcts? Sub cortical internal capsule infarcts  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 these infarcts are more common than cortical infarcts.  3.What is the pathogen
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