Sunday, July 12, 2020

Virtual case bank Neurology

Quadriparesis:

Presented by Dr Sreeram 2015 MBBS batch 

45 year old diabetic with acute quadriparesis and dysphagia and squint 



Hemiparesis 

65 year old woman with transient hemiparesis and hypoglycemia 


40 year old man, farmer by occupation presented to the opd with the complains of 

Bilateral pedal edema since 20 days 

Dyspnea on exertion since 18 days

Tingling and numbness in lower limbs  since 1 week followed by tingling and numbness in his left forearm which he developed over the next 5 days


Dr Vineela Spandana 2015 intern 


https://vineelashambhavi.blogspot.com/2020/08/40year-old-with-aidp.html?m=1




Paraparesis 


Presented by Dr Anugna 2015 batch

18YEAR OLD MAN CAME TO OPD WITH CHIEF COMPLAINT OF WEAKNESS OF B/L LOWERLIMBS SINCE 20 DAYS

https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1st


https://srianugna.blogspot.com/2020/05/hello-everyone.html


PG intern offline Case presentation and discussion 18M with paraparesis proximal to distal and calf hypertrophy: https://youtu.be/3VVH7w3rWSM



2) Presented by Dr Vaishnavi 2015 batch

23 yr old male patient has   complaints of weakness of bilateral lower limbs since 5 days
complaints of tingling and numbness 
h/o vomitings 5days back


https://vaish7.blogspot.com/2020/05/medicine.html?m=1


Offline intern PG discussion around 23M with paraparesis


https://youtu.be/ClopCj2KwZc



Part 2 of offline PG intern discussion around 23M with chronic gluteal abscess and paraparesis: 


https://youtu.be/QhjiomY-S74


Part 3 of 23M with paraparesis case discussion


 https://youtu.be/g9CQKhxsXqY


Part 4 of Offline intern PG discussion around 23M with paraparesis


https://youtu.be/FL37cYp6ZqU



3) Presented by Dr Hitesh 2015 batch


A 18M with inability to climb and difficulty in walking


https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1


Session video: https://youtu.be/VNq0rDdA-80


Presented by Dr Rakesh Kumar Intern 2015 batch:

65 year old man presented to the ER with a chief complaint of weakness in both his lower limbs since 15 days.

https://rakeshkumar04.blogspot.com/2020/06/medicine-blog_4.html?m=1

Presented by Dr Priyanka intern 2015 batch 

An 18 year old male patient came with complaints of tingling and numbness of both feet since 15 days, and both hands since 6 days.


Hemiparesis 

1) Presented by Dr Jaswitha 2015 batch:
A 45 Year old woman with headache since 2 years and right sided swaying of the body since one month: 

Same case by Dr A Vaishnavi PGY 2


Offline session video:




2) Presented by Dr Vaishnavi 2015 batch

A thirty five year old woman with sudden altered sensorium, speech and right hemiparesis:

Intern's E log:


Offline discussion session video: https://youtu.be/fx4Kygh6Nqc


3) Presented by Dr Sowmya and Dr Aditya 2015 batch: 
A 65F with right hemiparesis since October 2019 and sudden acute diarrhoea 

Intern's E log:


Dr Manisha 2015

57F with paraplegia 



Dr Geethika 2015

20 year old milk supplier from eklur nalgonda who is a known case of retroviral disease diagnosed 1 year back came to the casualty with altered sensorium

Dr Mahendran 2015

65 yr old came with the chief complaints of 
Vomitings since 5 days
 Altered sensorium since 4 days.





A few common questions for the students


1) Where are the different anatomical locations for the cause of the problem  for each of these patients?


2) What is the most likely pathology and etiology in that anatomical location?


3) What are the diagnostic and therapeutic options in such situations and what is the efficacy of each option/intervention?


4) Please share questions that come to your mind upon going through each of the cases.

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