Apoorva goli

  Questions: Please go through the patient data in the links below and answer the following questions: 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 Type2 DM, who is a chronic alcoholic & smoker, came with c/o weakness of right upper limb with involuntary movements of both right UL & LL  2. Why are subcortical internal capsular infarcts more common that cortical infarcts?   Subcortical areas are supplied by penetrating branches that arise from initial segments of the arteries near the Circle of Willis at the base of the brain.Occlusion of these penetrating arteries result in subcortical infarcts . These penetrating arteries arise at acute angles from major vessels and are thus, anatomically prone to constric

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/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. Here is a case i have seen: A 65YEAR OLD FEMALE WITH PEDAL EDEMA,DECREASED URINE OUTPUT ,SHORTNESS OF BREATH AND MASS PER VAGINUM A 65YEAR OLD FEMALE,FARMER BY OCCUPATION,  PRESENTED WITH C/O PEDAL EDEMA SINCE 2-3DAYS,    TILL BELOW THE KNEE JOINT,PITTING TYPE,2+  SOB SINCE 3 DAYS,GRADE 4  AND DECREASED URINE OUTPUT SINCE 25DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 20 YEARS BACK,THEN ONE DAY,WHILE SHE WAS TAKING A BATH,SHE NOTICED A MASS PER VAGINUM. H/O CONSTPATION O