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Biweekly exam

 1)Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.      2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricycli
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23yr old man with left weakness

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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. A 23year old man who is a student doing his degree 3rd year came to the hospital at night with cheif complaints of weakness in left sided upper and lower limbs since that day evening which is associated with deviation of mouth to right and involuntary movements of right lower limb. He was apparently asymptomatic 11months back . Since then he has 4 episodes of left sided weakness as follows:- Episode 1:- He felt tingling sensation in his left upper and lower limbs whic
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60yr Man with decresed attentiveness

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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. A 60year old man  came to the hospital with cheif complaints of decreased attentiveness since 3 days  and delayed response to verbal stimuli . He was apparently asymptomatic 1 month back later when he had history if thorn prick to Right lower limb in Harithaharam program on 31st july following which patient visited nearest RMP on 1st August to take some unknown medication and patient developed edema of right lower limb till knee and they went to a hospital in suryape
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65yr old man case

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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. HOPI:-        A 65yr old man , farmer by occupation came with complaints of  involuntary movements of bilateral upper and lower limbs lasting for about 3 to 5 minutes.       Patient was apparently asymptomatic till morning and has done his daily activities without any fail. Then his attender noted him developing sudden onset of involuntary movements of bilateral upper and lower limbs which are tonic type lasting for 3 to 5 minutes. This activity is associated with upr
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70/M Multiple skin lesions

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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. Case   70yr Male patient came to opd with c/o skin lesions associated with itching all over the body since 20days. Pt. was apparently asymptomatic 20days back then the pt developed intense itching over the posterior trunk. then his attender noticed fluid filled lesions over his back The lesion is initially small in size and gradually increased in size as observed by the attender. lesions rupture spontaneously or by scratching leaving out bear skin through which pale w
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