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Showing posts from May, 2020

23year old male with paraparesis

23year old driver with complaints of paraparesis i've 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 comeup with a diagnosis and treatment plan. Following is my analysis of patient's problem chief complaints of the patient: the problems in order of priority are  1)weakness of bilaateral lower limbs associated with tingling and numbness since 5 days  2)vomitings 5days back 3-4 episodes non projectile, non bilious,food particles is content  3)when he got up for urination ,suddenly he had a fall and got up with the help of father  4)gluteal abscess since 5 months  5)scrotal abscess since 20days as described by patient ,there is initially paraparesis that gradually developed inti paraplegia causes of paraparesis 1)pvd -A sudden falll may be due to vascular cause i.e stroke or

18 year old male with bilateral weakness and edema of lower limbs

18 yr old male with bilateral weakness and edema of lower limbs i've been given this case to solve in ana attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data includng history,clinical findings,investigations and come up with a diagnosis and treatment plan.  chief complaints: the problems in order of priority i found are 1.weakness of both lower limbs since 20 days 2.bilateral edema in lower limbs history of presenting illness 1.b/l weakness in lower limbs -weakness initially started in the proxinal region 2 yrs back onset:insidious in onset progression:gradually to distal region associated features -difficult in wearing and holding chappals -difficulty in combing hair,buttoning and unbottuning shirt calf hypertrophy-B/L possible diagnosis: -it may be related to nerves because there is history of difficulty in holding chappals and difficulty in buttoning and unbottoning

18 year old male with difficulty in walking

18year old male with difficulty in walking  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 a diagnosis and the following is my analysis of this patients  problems in order of priority are -weakness of b/l lower limbs since 1 month -bilateral lower limb weakness since 1 month -pain in lower limb calf muscles since 1 month -fever since 1 week reasons 1.difficulty in walking and weakness of lower limbs -h/o difficulty in standing from sitting position h/o difficulty in climbing stairs h/o difficulty in holding chappals h/o wasting and thinning of muscles mostly lower limbs probable diagnosis -it may be related to nerves because from the history there is history of ddifficulty in holding chappals and wasting and thinning of muscles,difficulty in standing from sitti