138 Vagisha Rani

57 year old male patient  NOTE This is an ongoing case and will be updated . The reference link (if any) will be mentioned at the bottom. Date of admission: 27/10/21 HISTORY OF PRESENT ILLNESS-   The patient  A 50 yr old male from West  Bengal presented to the causality with complaints of - 1.Sudden loss of consciousness (black outs).  2.sometimes there is involuntary movements of both upper limb and lower limb during the blackout.  3.The loc after waking is usually associated with right unilateral head pain after waking up.  4.He also has no recollection of the incidents on waking.  Patient was apparently asymptomatic 32 years back when he had loss of consciousness while lying on the bed at night not a/w involuntary movements .  Since then he had several episodes of LOC sometimes a/w involuntary movements (approx 2-3 or more times per month) (diagnosed as epilepsy by the doctors). Almost always a/w U/L head ache. He at times has hard falls leading to fall of teeth(3 upper incisors and

  Oct 2021 formative bimonthly blended learning assignment Q1) (Testing peer review competency in the active reader of this assignment) : Please go through the case reports in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared. Gastroenterology : (Captured by 2018 batch student final year MBBS): https://vamsikrishnarollno16. blogspot.com/2021/10/a-case- of-64yrs-old-male-patient- with.html?m=1 The document is well listed but could have been enhanced with the help of diagrams and highlighting the important points. the content of the document is explained well in a language that is easy to understand. the readability of the document could have been increased . (Captured by 2017 batch student final year MBBS):   https://63konakanchihyndavi. blogspot.com/2021/10/a-case- discussion-on-chronic-liver. html The ca

  53 yr old male patient with chronic kidney disease  NOTE This is an ongoing case and will be updated . The reference link (if any) will be mentioned at the bottom. Date of admission: 18/10/21 HISTORY OF PRESENT ILLNESS-  53 year old male presented to the casualty with the history of CKD. Daily routine before CKD:  The patient was apparently asymptomatic 4 years also when he used to work in agricultural fields. He used to consume alcohol  ( toddy) since childhood and he started smoking since 20 years. Daily routine after CKD ( 4 yrs back ): The patient was mostly staying at home and occasionally going out for his agricultural work. He left smoking and drinking since 4 yrs .  The patient also had history of tuberculosis (4 years back ) and hypertension ( since 1 month). He has undergone hemodialysis 4 times in 25 days. PAST HISTORY: history of tuberculosis 4 years back ( used ATT for 6 months )  HYPERTENSION since 1 month no history of  diabetes , CAD ,asthma no history of surgeries, r