Thesis

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December online assessment

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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 ?   ans:Problem statement Rights monoplegia of upperlimb-which is sudden onset with rt sided focal seizures with progression to secondary generalisation which was refractory to medical treatment for 2 days  uncontrolled sugars anatomical localisation of right sided focal seizures with secondary generalisation https://www.epilepsy.com/living-epilepsy/epilepsy-and/professional-health-care-providers/co-existing-disorders/brain-tumors-1 Anatomic location and General characteristics of seizures: Frontal lobe :  Usuallyoccur several times per day, short in duration, during sleep. Complex gestural automatisms common at onset. Tonic/postural manifestations prominent. Occipital lobe:Usually simple...
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 Internal assessment:  Antomocal Diagnosis: glomerulus of kidney Histological: ? Loss of effacement of foot process of podocytes of basement membrane ? Membranous glomerulopathy Etiological: diabetes and hypertension. Diabetic nephropathy    2.azotemia : Increased blood urea nitrogen with BUN to creat ratio 20:1 suggestive of renal or post renal azotemia. https://www.ncbi.nlm.nih.gov/books/NBK538145/   https://www.ncbi.nlm.nih.gov/books/NBK538145 Anemia:https://pubmed.ncbi.nlm.nih.gov/6876938/ https://spectrum.diabetesjournals.org/content/21/1/12 Hypoalbuminemia: Reduced protein intake and inflammation,due to reduced production of albumin by liver leading to decreased synthesis and increased catabolism and vascular permeability. https://pubmed.ncbi.nlm.nih.gov/9848794/ Acidosis: renal failure as there is decreased synthesis of bicarb resulting in high aniono gap metabolic acidosis. https://pubmed.ncbi.nlm.nih.gov/6876938/ 3.according to KDIGO guidelines,oral rep...
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January online assessment

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  1)26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? Ans: problem presentation in order of priority at  time of admission: 1)altered sensorium with irrelevant talk since 1 day 2)neck pain with headache since one month which worsened for the past 8 to 15 days 3)vomitings since one week 4)low grade fever since one week 5)generalised weakness with decreased appetite since one month anatomical localisation of current problems Brain-meninges and ?frontal lobe, due to altered sensorium B)What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis?  Please chart out the sequence of events timeline ...
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