VANDANA REDDY

  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....

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 80 year old man presented with chief problems of worsening dyspnea since 1 month and acutely aggravated pedal edema since 20 days.  He says his clinical syndrome began nearly 20 years ago when he started developing an irritating cough, which was worse in the morning and associated with mild quantities of mucoid, sticky, white colored sputum. He denies hemoptysis and pus or different colored sputum at any point.  His wife also reports late...