Shailesh Patil

   yesterday with complaints of loss of consciousness since 30 mins after alleged consumption of T.Clonazepam 2mg ( 2 tablets ) with hypoglycemia ( 56gm/dl)  Also complaints of polyarthritis since 4 months with morning stiffness in joints and pigmentation all over her face and ears since 3 months.  Seizures - 1st episode 4 years back (sudden tragic loss of sister being the trigger) used medication 2nd episode -  after 6 months   3rd episode - after one year   4th episode - yesterday night   ( lasted for 2 mins, post ictal confusion for 10 mins ) since April, 2022 she stopped taking T.PREDNISOLONE and T.HYDROXYCHLOROQUINE after discharge from hopsital ICU bed no 4 Day 1 Unit 6 S: patient is responding to commands  C/o fever since 10 days C/o oral ulcers  O: o/e patient is opening eyes on vocal commands  Patient is able to understand and able to recognise their attenders  Unable to speak making incoherent sounds...

 40 year male from a neighbouring state arrived to our hospital today morning with complaints of retro-sternal chest pain and anxiety since 4 days. Pain was non radiating, crushing type which did not decrease on medication, aggravated on mild activity and was relieved with rest, not associated with palpitations or dyspnea. He had a history of fall ( miscalculated dive in a river and hit a stone) trauma to left temporal area 2 years back after which he had a dull headache in that region radiating to occipital lobe . CT scan was advised which showed extradural hemorrhage along right lobar temporal convexity, for which he came to Kamineni hospitals and was treated with T.PARACETAMOL and T.TEGRETOL for 3 months. His complaints subsided and he went back to his home.  After a lot of slow going passive questions, patient got homey and answered few personal questions. He stated there was nothing wrong with his sleep,appetite,bowel/bladder and daily routine. But then like most of the...

SPOTTER 1  Diagnosis? Management procedures?  SPOTTER 2 DIAGNOSIS? Management? SPOTTER 3 Diagnosis? Which age group most commonly affected? SPOTTER 4 Diagnosis? Explain the gait seen in this condition. SPOTTER 5 Name the condition? What are these spots called?  SPOTTER 6 What is this sign called as?In which two conditions is it seen? SPOTTER 7 This sign is seen in which condition? other clinical feautres seen in this condition SPOTTER 8  Name the condition and components of it.

 25/F daily labourer by occupation came to gen medicine OP with complaints of pain abdomen (on and off) since 1 year, decreased appetite with early satiety since 1 year, hair loss since 1 year and generalised weakness ( on and off)  Pain abdomen is squeezing type, diffuse not associated with vomiting or nausea 12 years back she had trauma on right foot ( an iron material fell on it) followed by swelling of the foot and later whole body ( anasarca )  H/O blood transfusion (2 pints)  after 2-3 months of trauma ( hemoglobin 3.2 gm ) at that time. Injection iron sucrose 10 ampules  transfused on alternate days during her 8th month of 1st gestation (Hb then was 7 ). She had jaundice during the 9th month of her gestation During delivery emergency LSCS ( august 2019) done due to foetal distress and due to PPH, 2 pints of blood transfusion was done pallor +  distended abdomen. spleen palpable + ( upto umbilicus)  menstrual history:  Age of menarche -13 du...