Second Internal Exam answer sheet

 




 











 


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72 year old male with B/L Lower Limb weakness

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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 .  Patient came with c/o weakness of B/L lower limbs since 5 years  HOPI :  Patient was apparently asymptomatic 5 yrs back then he developed tingling sensation of B/L lower limbs. After that he had B/L lower limb weakness insidious in onset , gradually progressive. He has tingling sensation of B/L foot , he is able to wear slippers initially, but since 2 yrs he is unable to wear slippers. Not able to squat and stand from squatting position , but able to squat with support. Able...
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70 year old male with left upper and lower limb weakness

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 This is an online e log book to discuss our patient de-identified 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 problem with collective current best evident based input. 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. 70 year old male farmer by occipation, Resident of Nalgonda came to hospital with chief complaints of inability to lift left upper and lower limb since morning. HOPI: Patient was apparently asymptomatic 7 mont...
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2. Evidence based data wise workflow log collated by the intern with clickable and verifiable links.

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Evidence based data wise workflow log collated by the intern with clickable and verifiable links. I am Kasarabadha Sampath ,Intern from 2k18 batch. Case 1: Blog:  72 year old male with B/L Lower Limb weakness Pajr: https://chat.whatsapp.com/JNwDDlalC8TLXjwIsR3u53 [26/08/23, 4:09:42 PM] Rakesh Biswas Sir GM HOD:  👆 @918099474777  @919502479628 Please share the PaJR and case report link [26/08/23, 4:11:29 PM] Sampath Kasarabadha: Okay sir [27/08/23, 2:59:38 PM] Rakesh Biswas Sir GM HOD: https://chat.whatsapp.com/JNwDDlalC8TLXjwIsR3u53 Other than falling with eyes open and mild disturbances in the heel shin test video what other signs suggest involvement of the cerebellum in this man who has this gradually progressive ataxia since 5 years?  What is his joint position and vibration sense?  Areflexia and reduced nerve conduction velocity suggests associated axonal demyelinating neuropathy but what does the conduction blocks in addition suggest? @918328223112 @919652...
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