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67 year old female

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A 67 yr old female is a hand embroidery worker by profession until 20 years ago,she is not working since 20 years and is a housewife thereafter.She  developed sudden giddiness and seizures 15 years ago for the first time which lasted for 2-3 mins and then she became normal, when she was taken  to hospital she was prescribed some medications and used to have episodes of seizures on and off lasting for 2-5 mins once in a few months.  6 months ago , she had a seizure in the morning immediately on waking up and had froth from the mouth she was then taken to hospital and got better after 2 days after which she was discharged. She was prescribed medications but she was taking them irregularly Then on 7th of this month at around 2 pm, she developed altered sensorium sudden in onset and was brought to the casuality and she was unconscious then Her mri report from  6 months ago shows Multiple calcified granulomas ( largest measuring 1.0X0.8 cm in the frontal lobe )  Chronic laccunar infarcts in
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July assessment

Q1  Case 1 : https://aitharaveena.blogspot.com  In my opinion : Reasoning was good and the diagrams used makes the understanding easy . Q2- Case 2 :  https://blendedasessmentmadhukumar.blogspot.com In my opinion : diagnosis inferior wall mi with uncontrolled sugars and dm since 8yrs chest pain since 3 days   what is the symptomology in the patient in terms of an event and where is the anatomical localization for the problem and the etiology of patient problem  giddiness since morning profuse sweating since mrng anatomical location of lesion is inferior wall of the heart Case 3 : https://31nehareddy.blogspot.com/ In my opinion :I agree that COVID-19 infection has led to acute exacerbation of underlying intestinal lung disease.COVID can cause exacerbation of ILD symptoms such as dyspnea, decreasing levels of SpO2 further . And also due to ILD the prognosis of the patient is poor. ILD makes the oxygen more difficult to pass into the blood stream Case 4 : https://divyasree1999.blogspot.com
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June assesment

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 July 30,2021 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. MONTHLY SUMMATIVE ASSESSMENT I have been given the following questions to answer in an attmept to understand the topic of 'Patient clinical data analysis' to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and diagnosis and come up with a treatment, to assess the quality of treatment given and to suggest improvisations.    Question 1 : Competency tested for Peer to peer review and assessment : After going through one particular answer of ten students in this l https://generalmedicinedepartment.blogspot.com/202
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A 58 year old patient

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 A 58 year old patient came to the OPD with the chief complaints of fever and loss of appetite since 4 days and he is unresponsive since 2 hours Patient was asymptomatic one month ago and then he had sudden onset left UL &LL weakness associated with deviation of mouth to right side admitted in hospital for a week and got discharged Patient was c/c/c from then until today (20/7)21) 7:30 pm when he suddenly became unresponsive and was brought to our casuality at 8.30 pm in a state of unresponsiveness with GCS E1V1M1. H/o fever - high grade , intermittent , associated with chills , releived with medication Vomiting 2 episodes which was black in colour 4 days ago. No h/o headache,seizures,cough or cold. No other complaints Patient continued to take OHA inspite of not taking food. Past history:  Known case of type 2 diabetes mellitus since 10 months and on treatment with glimi 2mg + metformin 500 mg and voglibose 0.2mg Hypertension since one month and on telma 40mg OD Personal history :
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A 58 year old male

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This is a case of a 58 year old male farmer(8acre land) & Toddy collector Pt was apparently alright 11 months ago,one day after a heavy work in his farm ,He had body pains and at night he developed involuntary movement of right upper limb & lower limb with loss of consciousness for 1hr(No involuntary micturation/Defecation) and was taken to Balaji hosp in miryalaguda,pt had irrelevant talk for 2day’s,as his condition was not improving he was shifted to sunshine hyderabad.After which,his condition improved and in 3days he was discharged with some antiepileptic medication 6month back he went for follow up in sunshine for focal seizures/Focal dystonia he was given tetrabenazine 25mg(1/2tab BD) Haloperidol 0.5mg(1/2tab TID) Clonazepam(0.25mg mng,0.5mg n8) Sodium valproate(300mg x Bd) After 1month went to neurologist in miryalaguda,he was given carbamazepine 400mgxBD& Tetrabenazine25mg xBD(now he is still continuing these medication) Since 11months pt stopped working,he was gett
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