Siddeshwar

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...

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 taki...

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=L...