Siddeshwar

1) A 55 year old man with Recurrent Focal Seizures   Detailedpatient 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 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/#...

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 yr old woman ,home maker by occupation came to hosipital with c/o B/L swelling of lower limbs :1 week (pitting type upto knees) ,facial puffiness +:1 week , wound over left foot -small toe :1 week .fever for 1day  3 days back ass with chills relieved with medication . H/o Decreased urine output No h/o chest pain/palpitations/sob/giddiness/cough/cold  No h/o burning micturition No h/o pain abdomen,vomitings,loose stools No other compla...