Chandana vishwanatham

1/5/2024 Admissions under unit -1 1. A 47-year-old male, known to be diabetic, presented with fever, severe weight loss, and loss of appetite for one month. He has a previous history of pulmonary tuberculosis seven years ago, for which he underwent Anti-Tuberculosis Treatment (ATT) for six months. He also reported experiencing loose stools for the past ten days. Additionally, he complained of passing small amounts of stools during urination and weakness in all four limbs. Physical examination revealed normal vital signs, bronchovesicular breath sounds in both lung apices, and a non-tender soft abdomen. The neurological examination was found to be normal. He had received treatment at other hospitals with antibiotics, but there was no improvement in the fever which persisted. The differential diagnoses considered included reactivation of pulmonary tuberculosis and Pott's spine (suggested by weakness and fecal incontinence). Further investigations revealed anemia, elevated ESR, and a ...

 NEUROLOGY DIARIES: 51 year old male ,Carpenter by occupation came with the chief complaints of  Inability to look at bright lights (R eye>Left eye) since 6months Decreased eyeball movements and slowing of activities since 6months Low volume of speech since 6months Stiffness of right upper limb since 6months HOPI:Patient was apparently asymptomatic 6 months ago.Since 6months patient has c/o inability to look at bright lights,Photophobia since 6 months,more in right eye compared to left eye associated with watering from eyes on sun exposure,not associated with redness of eyes or pain in eyes.No c/o discharge,burning sensation of eyes.c/o diplopia on looking at objects occasionally. Patients wife notices that patient has decreased eyeball movements in both eyes and patient is turning his entire head to look sideways and above and downwards. C/o slowness of activities with right upper limb such as eating and combing hair since 6months.Patient is taking food to the mouth slowly...

  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  45 year old female currently working as ECG technician and previously worked also a tailor ,hailing from Nalgonda with the chief complaints of multiple joint pains and swellings since 17years HOPI: Patient was apparently asymptomatic 17years ago and then developed multiple joint pains,Started with left ankle severe pain and swelling,Gradually progressive ,involving multiple joints ,bilaterally symmetrical,involving ankle joints,knee,hips,shoulder ,elbows to currently involving wrist ,ankle pain still present .History of neck pain 5-6years ago subsided now,3days back history of pain during chewing on lateral chee...