Sasi kiran G

1) 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 Y M patient who is a mestri worker came with c/o inability to move his right upper limb and episodes of seizures.He is a chronic alcoholic and beedi smoker since 35 years. Lesions may be seen in left fronto parietal temporal and occipital lobes.mostly temporal region. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? A. small subcortical infarcts (RSSIs) mostly result from the occlusion of a single, small, brain artery due to intrinsic cerebral small-vessel disease (CSVD). Some RSSIs may be attributable to other causes such as cardiac embolism or large-artery disease, and their association with coexisting CSVD and vascular risk factors may vary with morphological magnetic resona

 51 year old male came with complains of ulcer on left foot and right foot since 3 months.  Ulcer was insidious in onset and gradually progressive( initally a blister progressed to present size) non healing type.  He was a k/c/o diabetes and hypertension since 30 years for which he was taking medication.  He had a history of difficulty in micturition 10 years back for which he went to hospital and diagnosed with CKD and was on medication.  4 months back he developed bilateral pedal edema and started dialysis ( maintenance hemodialysis). 20 dialysis were done in kims, narketpally and 10 dialysis were done in suryapet.  He has habbit of drinking since 35 years( 90ml- quarter/ day) .  Not a k/c/o asthma, tuberculosis, vascular and cardiac disorders.  No past history of similar complaints No past history of hospitilization or surgery FAMILY HISTORY: No H/O Diabetes, Hypertension, Asthma, Epilepsy, Tuberculosis, CVA, CAD.  PERSONAL HISTORY: Diet :mixed Sleep :adequate  Bowel and bladder :re

 A 27 yr male patient came with complaint of fever since 3 days which is of high grade and continuous type, aggrevated during night and relieved on taking medication and associated with chills since 2 days.  Patient says he had back ache and joint pains in lower limb associated with fever.  C/o generalised weakness since 4 days.  No H/O headache No h/o vomitings No c/o cold, cough No H/O burning micturition  No h/o hematuria No H/O diarrhoea, constipation No H/O abdominal pain & tenderness No H/O bleeding manifestations and rash No H/O palpitations,chest pain, syncopal attacks No H/O loss of apetite, decreased sleep No H/O loss of consciousness/fatigue/weakness PAST HISTORY: Not a K/C/O Diabetes, Hypertension, Asthma, Epilepsy,T.B,CVA,CAD No past history of similar complaints No past history of hospitilization or surgery FAMILY HISTORY: No H/O Diabetes, Hypertension, Asthma, Epilepsy, Tuberculosis, CVA, CAD.  PERSONAL HISTORY: Diet :mixed Sleep :adequate  Bowel and bladder :regular