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55 YEAR OLD MALE WITH TINGLING IN ALL LIMBS

This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. Mentioned here are some learning points that I found interesting, both theoretical and practical surrounding this patient: -Performed multiple Ryle's tube insertions in this patient -Learnt how to calculate eGFR, and determine type of AKI in this patient A 55 year old male presented to the casualty with chief complaints of: Tingling and numbness in all limbs since 3 days One episode of altered sensorium History of Presenting Illness: The patient initially started drinking 15 years ago when he was 40, due to peer pressure as all his friends in farming would drink too. Once his son met with an accident and broke his arm 6 years ago, the patient's drinking increased.  Started drinking heavily 10
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22 OLD FEMALE WITH INTERMITTENT FEVERS SINCE 1 YEAR, URINARY INCONTINENCE SINCE 1 DAY

   This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. Mentioned here are my learning points, both theoretical and practical surrounding this patient: -I performed a full sensory and motor system examination on this patient and recorded my findings below. Additionally, I learnt how to localize the level of spinal cord lesion based on my findings. Beaver's sign was a learning point for me as well. -Learnt how to differentiate LMN bladder from UMN type bladder -Learnt about NMOSD (Neuromyelitis Optica Spectrum Disorder), its symptoms and possible clinical findings The patient came to the OPD with chief complaints of: -Urinary retention since 1 day HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 year back when she developed headac