Supraja Medicine elog

  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. 65yrs /M,farmer(not doing any work from6-7yrs).patient complaints of 1. sudden painful diminision of vision in both eyes (left>right)associated with headache 2. generalized weakness of both U/L &L/L 3.slurring of speech. since 2days             He was taken to the local hospital but there was no relieving of symptoms.pt was apparently asymptomatic 2days back then he suddenly developed all these symptoms.No complaints of diplopia, redness of eyes, ocular pain, t

  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. CASE DISCUSSION: 20yrs male ,butcher by occupation studied till class 7th.In2011 he had right focal seizures of 1episode and was admitted to the hospital for 1week and used antiepileptic medication for about 2years.In 2014 he had his 2nd episode of rt focal seizures.      ?NCC on MRI and was on albendazole and steroids  used antiepileptic drugs for 1year and also used herbal medications. In 2018 he had acute onset of SOB, abdominal tightness and constipation he was ad

26/M btech,completed 3yrs back non alcoholic and a non smoker , developed vomitings 4-5episodes on23rd December: yellow colored,non bilious,non blood stained contained foodparticles/water. Thenafter patient used to have vomitings every day 2-3episodes or at times multiple episodes for  one &half month i.e till feb 11th    After 15days of onset of vomitings i.e in January patient went to Suryapet hospital and there for the first time he was said to have high bp-170mmhg and brain imaging was done .Used anti hypertensive drugs for 10days and stopped On February 12th he presented with : 1-multiple episodes of vomitings a day before,2-he noticed decreased urine output since January  3- intermittent shortness of breath on walking for long distance 4-spasm of both calves since 5-6yrs monthly twice/thrice only night times due to which he used to get up from his sleep His creatinine was 15mg/dl On February 13th he was referred to NIMS  i/v/o renal biopsy.There his shortness of breath was in