K. Manasa

  Harshini reddy December 22, 2020 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 51 year old female ,house wife came to the casuality with chief complaints of  vomitings since ,20 days . In 1994, she had twin pregnancy ,which was her second pregnancy , due to unknown cause one of the twin died intrauterine. Normal vaginal delivery  According to her sister she is got slightly depressed and was not a normal person since then . In 2015,she was brought to here to gynaecology OP as,

  1 ) A 55 year old man with Recurrent Focal Seizures 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 man presented  with the complaints        of Unable to move his right upper limb yesterday              recurrent episodes of seizures he  suddenly started complaining that he couldn’t move his right upper limb few minutes later he developed a sudden onset, tonic clonic seizures involving his right upper limb and lower limb lasting for 2 minutes following which he had another 8 episodes of focal  seizures involving his right upper limb and right lower limb with a 2 minutes of gap between each episode. During these episodes he had uprolling  of eyes and wasn’t followed by froth discharge from mouth or tongue bite or any involuntary micturation. He was in postictal confusion lasting for 40 minutes.    Recurrent episodes of seizur