K. Manasa

 Question 1 https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis of liver which might have been caused due to chronic alcoholism.  Cirrhos...

 Questions: 1)50 year 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  https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? A)chronic smoker and  tobacco chewer H/o left lower limb fracture 2 years back Started 15 years ago, initially chewed 1 or 2 packs/day & gradually increased to 3-4/day and even 5-7 on a few days. Abruptly stopped consuming both alcohol & khaini after the RTA in June, 2018. Son has offered khaini several times after, but the patient was very reluctant eversince. Now presenting complaints are frequently walking into objects along with frequent falls since, Drooping of eyelids(progressing as...

  26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings A) 26 year old female who is a mother of two children, a tailor and agricultural labourer got married 10 yrs back -  Headache since 8 days- in bitemporal vertex region has been aggrevated since 1 week . After stopping using steroids she has -Fever since 4 days- low grade not associated with chills and rigors. - Vomitings since 1 week (multiple episodes). She has generalised weakness,decreased apetite and unable to walk for which admitted in nalgonda. -Neck pain since 4 days At the time of presentation she has altered sensorium with irrelevant speech since 3 am in the morning K/c/of SLE since 3 years (Hy...

  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...