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BIMONTHLY INTERNAL ASSESSMENT - DECEMBER

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1) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here:  http://ushaindurthi. blogspot.com/2020/11/55-year- old-male-with-complaints-of. html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? A 55 year old male construction worker with T2DM who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right UL & LL secondary to ? right temporal lobe epileptogenic focus. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are caused by occlusion of a penetrating artery from a large cerebral artery, most commonly from the Circle of Willis. These penetrating arteries arise at sharp angles from major vessels and are thus, anatomically prone to constriction and occlusion.  So subcortical infarcts are more common than cortical infarcts. 3. What is the pathogenesis involved in cerebral infarct rel
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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 sign 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 collecting current best evidence-based inputs. This E logbook also reflects my patient-centered online learning portfolio and your valuable input on the common boxes welcome. A 75years old female from muthyalammagudem came with c/o pain and swelling at left hip region due fall from bed while sleeping at around 12:00 AM on 18/11/2020  No h/o head injury No h/o fever No h/o headache / dizziness / LOC / blurring of vision / diplopia  Not a k/c/o DM / HTN / Asthma / Epilepsy / CAD / TB GENERAL EXAMINATION: Patient is coherent cooperative moderately built and moderately nourished There is no pallor,Icterus,cyanosis,clubbing, lymphadenopathy  LOCAL EXAMINATION: There is