Asritha Reddy

 This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 PRESENTATION: A 70 year old male patient who collects toddy from tree came with C/O SOB since 3 months. Patient was apparently asymptomatic 1 year back then he had H/O fall and pelvic bone # , was  operated for that and was on bed rest for 7 months.Later, 3 back back he developed SOB grade IV, was taken to local hospital, due to high serum  creatinine informed the need for dialysis but patient attendars  requested medications to relieve symptoms as there was a family ...

 This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 PRESENTATION: A 36 year old male who is farmer by occupation and resident of Koch behar , West Bengal came with chief complaints of lower back ache with pain radiating to right lower limb since 20 days. Patient was apparently symptomatic 20 days back then he developed sudden pain in the lower back with pain radiating to right lower limb, associated with calf pain. H/o massage done 20 days back ( in view of pain in the right lower limb which was aggravated  after that) , then he...

 This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 35 year old male patient come with cheif complaints of abdominal discomfort and difficulty in passing stools from 1 month. Patient was apparently asymptomatic 15 years back then he had an episode of pain abdomen and constipation , went to hospital and was given medication and got relieved from his symptoms. Patient was normal till 5 years, later in 2010 he complained of stools which are watery in consistency , black coloured , 2-3 episodes per day lasted for 8-10 days. He had alteratio...

 ) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here:  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 male , with Type 2 Diabetes mellitus who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right upper and lower limbs . The anatomical site of lesion may be internal capsule(left sided) as it is the most common site for lacunar infarcts,also presents as hemiparesis. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are more common as the penetrating artery supplying this region are prone to occlusion because of its small diameter.They usually arise from a large cerebral artery, most commonly from the Circle of Willis. These penetrating arteries arise at sharp angles from majo...

This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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 PRESENTATION.   A 29 year old male who is a lecturer by occupation came with c/o burniing sensation in the upper quadrants of abdomen since 10 months. History of present illness: Patient was apparently asymptomatic 10 months back,then developed burning sensation in the upper quadrant of the abdomen associated with nausea with heartburn. c\o burning micturation in the month of june which  resolved on medication [complains of having intermittent burning micturition since then]not ...