MEDICINE

  1.26 year old woman with complaints of altered sensorium since day,headache since 8 days,fever and vomitings since 4 days  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? A 28 year old woman with the complaints of Headache since 8 days Fever since 4 days Vomitings since 4 days Altered sensorium since 1 day 28 year old woman with 1. Hyponatremia secondary to SIADH 2. Tubercular meningitis 3. Acute infarct in the left thalamic region 4. SLE with multiple joint pains  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 between the manifestations of each of her problems and current outcomes.  2. Tubercular meningitis: Patient presenting in altered sensorium with Feve...

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) 55yr old man,  maestri by occupation who is an alcoholic(30yr's),diabetic(5yr's) has GTCS for 2min followed by multiple episodes of Focal seizures of right upper limb and right lower limb with uprolling of eye balls and post i ctal confusion Anatomical site:Left front parietal cortex 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? ANS) The blood supply of the internal capsule is variable but is commonly from small perforating branches of the  middle cerebral artery  and  anterior cerebral artery . These include the lateral  lenticulostriate arteries  and the recurrent artery of Heubner respectively  . An  internal capsule strok...