Archana’s log

 Unit 3: Interns: Dr Archana Dr Sreeja Dr Harsha  Dr Kalyan  Dr Sahithi  Dr Jeehariki Dr Raveen PGY1 Dr Aashitha PGY2 Dr Aravind PGY3 Dr Vamshi PGY3 Dr Hareen SR Dr Praveen Naik Ass Prof DR. RAKESH BISWAS HOD 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: Admission under unit 3 on 27/01/2021 30 years young man is a farmer by occupation and is a part time stone driller presented with pain in multiple joints and muscles from past 1 year, which is worsening since six months.  HOPI: Patient

  34yr old man , as a working driver presented  in swallowing since 5am   Weakness in Right UL and LL since 5am   Deviation of mouth to left since 5 am  Slurred speech since 6am .  Pt developed sudden onset of  difficulty in swallowing while he tried drinking water followed by he suddenly developed weakness of rt upper limb and rt lower limb .  His attendant later observed deviation of mouth towards left side and slurring of speech.  H/o ? 1episode of GTCS 3years back, the patients attendant says they were also told that he had a heart problem back then.   He has been an occasionally  alcoholic since 20years .  Not a known case of Htn ,Dm type2, Thyroid disorder,  Asthma.  No history of any past surgeries.  On examination  A well nourished and obese individual with no pallor, Icterus, clubbing, cyanosis or lymphadenopathy Though he had bilateral pitting type of pedal edema extending upto his knees His Abdominal girth measured around 96cms He had no neurocutaneous markers Spine is norma