INTERNAL ASSESSMENT

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Clinical Complexity in Neurodegenerative Diseases - Case Series

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INTRODUCTION The term neuro - referring the cells of brain /neurons, Degeneration- deterioration and loss of function in the cells of a tissue or organ. These disorders are an umbrella term for a spectrum of diseases that can cause symptoms ranging from mood disturbances to dementia, involuntary movements, and cognitive decline that affect daily life. The lack of clear criteria for defining neurodegenerative disorders means that there is a wide variety of etiologies and pathophysiology to understand the clinical, pathological, molecular pathways, and therapeutic targets in management. This creates a broad scope for future research and treatment advancements. This can make it challenging to diagnose and treat these diseases effectively. However, researchers are working to better understand the underlying mechanisms of neurodegenerative disorders, which could lead to more effective treatments in the future. Neurodegenerative disorders can impact many different facets of functioning, ...
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CKD secondary to NSAID abuse

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE 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. A 29 year male came to opd with chief complaints of  Bilateral pain in lower limbs upto knee since 20 days HOPI Patient was apparently asymptomatic 3 years ago then developed severe sudden pain...
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65F with Isolated Bilateral Occulomotor Nerve Palsy

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    PRESENTING COMPLAINTS:   A 65 yr old female presented with complaints of inability to open eyes since 1 day   HISTORY OF PRESENTING ILLNESS:   The patient was apparently asymptomatic 1 day back when she developed an inability to open both her eyes which was sudden in onset and static in progression, associated with blurring of vision. Not associated with  diurnal variation,  loss of consciousness, dizziness, chest pain, shortness of breath, palpitations. Right eye adduction and  Right LPS function   improved on day 2.   No h/o  head trauma fall from height, lifting heavy objects on the head/back/ spinal anaesthesia No h/o headache, vomiting, diarrhoea No h/o bed sores, dark coloured urine H/o diminution in vision in right eye since 1 year Not associated with alteration in smell Not associated with colour blindness or night blindness Not associated with facial numbness or inability to chew food Not a...
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