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February Assessment Exam

This is my submission of the assessment of February 2021  Link to the current assignment is below:  https://medicinedepartment.blogspot.com/2021/02/medicine-paper-for-february-2021.html?m=1 1Q.  50 year old man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years   Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  Link to the case presentation:  https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 And link to the case discussion:  https://youtu.be/kMrD662wRIQ a. What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? PROBLEM PRESENTATION: Regular alcoholic and tobacco chewer  An episode of GTCS seizures 10 years back  Diagnosed as diabetic 2 years back when he had fall from bike and got his leg fractured and was operated  Difficult to keep his eyes ope
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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 :  Unit 6 admission : Case admitted in male ward on 6/2/2021. Interns  B. Mani varma  K.Divya Rachana K. Nikhil reddy M. Swarna Juveria   Dr. Vinay(pgy1) Dr. Rashmitha(pgy2) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Hareen (SR) Dr.Praveen Naik( asst.proff) 40/M, LORRY DRIVER CAME WITH C/O PEDAL EDEMA SINCE 5-6DAYS ABDOMINAL DISTENTION SINCE 5-6 DAYS COUGH SINCE 5-6 DAYS SHORTNESS  OF BREATH ON WALKING FOR LONG DISTANCES NYHA GRADE 2 TO GRADE 4ABLE TO CLIMB 2
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50/M

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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 :  Unit 6 admission : Case admitted in male ward on 6/2/2021. Interns  B. Mani varma  K.Divya Rachana K. Nikhil reddy M. Swarna Juveria   Dr. Vinay(pgy1) Dr. Rashmitha(pgy2) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Hareen (SR) Dr.Praveen Naik( asst.proff) 50/M PRESENTED TO OPD WITH C/O DYSPNEA ON EXERTION SINCE 1 MONTH  B/L PEDAL EDEMA SINCE 10 DAYS  FACIAL PUFFINESS SINCE 10 DAYS   PATIENT HAS BEEN EXPERIENCING DYSPNEA ON EXERTION SINCE A MONTH AFTER WALKI
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13-2-21

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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 :  Unit 6 admission : Case admitted in male ward on 6/2/2021. Interns  B. Mani varma  K.Divya Rachana K. Nikhil reddy M. Swarna Juveria   Dr. Vinay(pgy1) Dr. Rashmitha(pgy2) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Hareen (SR) Dr.Praveen Naik( asst.proff) 55 YEAR OLD MAN PRESENTED TO THE  CASUALITY WITH THE C/O  FEVER SINCE 1 DAY ASSOCIATED WITH BODY PAINS. LOOSE STOOLS  AND VOMITINGS SINCE 1 DAY. GIDDINESS SINCE MORNING  PATIENT WAS OPERATED 3 YRS BACK FOR
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6-2-21

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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 :  Unit 6 admission : Case admitted in male ward on 6/2/2021. Interns  B. Mani varma  K.Divya Rachana K. Nikhil reddy M. Swarna Juveria   Dr. Vinay(pgy1) Dr. Rashmitha(pgy2) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Hareen (SR) Dr.Praveen Naik( asst.proff) A 50 year old male patient resident of Nalgonda, daily wage worker by occupation came with complaints of Fever since 30 days,low grade, intermittent. Increased frequency of stools 3 times per day,non mucoi
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46 year old male who is a daily wage labourer by occupation came with complaints of  fever since 5-6 days, A single episode of involuntary movements 29th jan at 6pm. History of present illness : Patient was apparently asymptomatic 6 days back then he developed low grade fever which is on and off which is sudden in onset and associated with chills and is not associated with cold and cough, no aggrevating factors  but relieved on taking medications. It is also a/w tooth ache due to which he is unable to take/ chew foods. He developed generalised weakness and tingling sensations since 15days He had a single episode of involuntary movements for 5 minutes yesterday, associated with uprolling of eyes, frothing of saliva present (? Tonic type of seizues), no involuntary passage of urine and stools, post ictal confusion for 30 minutes after the episode of seizures. No h/o chest pain, palpitations, syncopal attacks. No h/o shortness of breath, orthopnea and PND. H/o 7-8 episodes loss of conscio
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