Sreeja Dukkipati

This is my submission for the Bimonthly internal assessment for the month of January. The questions to the cases being discussed are from the link below: https://medicinedepartment.blogspot.com/2021/01/medicine-paper-for-january-2021.html?m=1 1)26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days. More case details in the following link. https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? Problem presentation: 1) Altered sensorium with irrelevant talk since 1 day. 2) Neck pain with headache since one month which worsened for the past 8 to 15 days. 3) Vomitings since one week. 4)Low grade fever since one week. 5)Generalised weakness with decreased  appetite since one month. Anatomical localisation: 1) Kidneys: Hyponatremia secondary

This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. 56 year old female from Ammanabolu, Tobacco leaf seller by occupation came with chief complaints of Decreased appetite since 20 days, generalised weakness since 15 days ,  Pain abdomen since 10 days. B/L Lower limb ,upper limb edema and facial puffiness since 5 days. She recalled having on and off chest pain since 6 months, pricking type, subsiding on its own, no radiation. Palpitations + Syncopal attacks - 15 days back patient had loose stools 10-15 episodes per day sma