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BIMONTHLY INTERNAL ASSESSMENT

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26 year old woman with complaints of altered sensorium somce 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/d4lLX04oL8 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? problem: • headache 1 -2 times /week since 1 month and along with neck pain  • both hands small joint pain and later elbow and shoulder involved. she diagnosis as SLE •  she present to causality with altered sensorium and irrelavent talk  • history of vomittings and generalised weakness ,decreased appetite ,unable to walk  • history of low grade fever and joint pain  Anatomical location  : she has low grade fever,chronic headache along with neck pain and altered sensorium.....suggested may be problem in the  b
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37Yr old male came with c/o Pain abdomen in umbilical region since 1day

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This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. A 37yr old male came with c/o Pain abdomen  in umbilical region severe type which was sudden in onset,non radiating associated with vomitings bilious type, non projectile 25 episodes since morning Patient apparently asymptomatic 10yrs back then he developed pain in epigastric region radiating to back,where he was taken to near by RMP and given NSAIDs,further pt had similar episodes every yr...for which pt took same treatment from RMP In Dec 2020 pt was taken to  Asian in
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73yr old male c/o fever &Pain abdomen since 1week

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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: 73 year old male resident of Atmakur came with complaints of fever and pain abdomen since one week.   patient was apparently asymptomatic one week back then developed fever which was gradual on onset high-grade associated with chills and rigors present throughout the day , subsided on taking medication , patient complains of pain abdomen  ( right hypochondrium ) ,  continuous type , not associated with vomitings subsiding on taking medication
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General Medicine Internal assessment.

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1) A 55 year old man with Recurrent Focal Seizures Detailedpatientca 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 T2DM who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right UL & LL secondary to ? right temporal lobe epileptogenic focus. 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 infarcts are more common than cortical infarcts. https://www.ncbi.nlm.nih.gov/books/NBK534206/#:~:text=Lacunar%20
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