General medicine-2nd internals(K.Kavya ,roll no 167)

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Gm case 13/4/23

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This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt 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 come up with diagnosis and treatment plan.   A 32yr old male patient who is a resident of miryalaguda , came with, Chief complaints: of: Fever since 7 days  Pain abdomen since 7 days . History of present illness: Patient was apparently asymptomatic 7 days back then he had fever which is sudden in onset,high grade and with chills and rigors, with body aches, and  releived by taking medication. Pain abdomen since 7 days in right hypochondriac,right lumbar, umbilical region, which is needle pricking type of pain , aggrevated during expiration. Not relieved on medication . No h/o chest pain,sob, palpitations No h/o nause
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OSCE AND LEARNING POINTS. 5/12/23 prefinals

OSCE AND LEARNING POINTS OF A CASE OF CEREBRO VASCULAR ACCIDENT. 5/12/23 OSCE: 1.𝐖𝐡𝐚𝐭 𝐚𝐫𝐞 𝐭𝐡𝐞 𝐬𝐞𝐧𝐬𝐨𝐫𝐲 𝐚𝐧𝐝 𝐦𝐨𝐭𝐨𝐫 𝐚𝐫𝐞𝐚𝐬 𝐬𝐮𝐩𝐥𝐥𝐢𝐞𝐝 𝐛𝐲 𝐌𝐂𝐀 𝐚𝐧𝐝 𝐰𝐡𝐢𝐜𝐡 𝐚𝐫𝐞 𝐚𝐟𝐟𝐞𝐜𝐭𝐞𝐝 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧?  • The middle cerebral artery (MCA) primarily supplies blood to various regions of the cerebral cortex. Sensory and motor areas supplied by the MCA include parts of the face, upper and lower limbs, and areas involved in sensory and motor functions. The specific regions can vary among individuals, but generally, the MCA contributes to the blood supply of the lateral convexity of the cerebral hemisphere. This includes the precentral gyrus (primary motor cortex) and the postcentral gyrus (primary somatosensory cortex). Damage to the MCA can lead to motor and sensory deficits on the contralateral side of the body. 2. CLINICALLY WHERE DO YOU LOCALIZE LOSS OF SPEECH IN A PATIENT? Ans: In clinical terms, the localization of speech loss in a pat
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Gm blog series -(26/4/23)

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This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION  CHIEF COMPLAINTS AND HOPI: A 56 year old male patient who is a resident of koilagudem (nalgonda district)who is a daily wage labourer by occupation brought to the casualty in unresponsive state at 1:30 Am .patient was found drowsy from 1 pm on 25/04/2023 And suddenly developed seizure like activity associated with slurring of speech,uprolling of eyeballs,stiffness of all four limbs, Associated with involuntary defecation and micturition and found unresponsive.  No h/o fever ,cough. No h/o neck stiffness and projectile vomitings.  No h/o generalised weakness ,tingling,numbness. No h/o head trauma. Cheif complaints of swellings with discharge not associated with pain on the left forearm. Histor
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