medicine e log by NIKITHA

"18 year male patient with bilateral lower limb weakness and calf muscle hypertrophy " NIKITHA TALLAPELLI  ROLLNO.163  I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan You can find entire real patient clinical problem in the link given below: https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1 Before case study I just thought to explain definition of weakness  Muscle weakness happens when full effort doesn't produce a normal contraction and movement.  Patient history: 18yr old male patient came with chief complaints of bilateral lower limb weakness since 20 days and associated with hypertrophy.  Past history: Weakness in proximal region,incidious in onset ,gradually progressive (2yrs back) Bilateral edema,

NIKITHA TALLAPELLI  Rollno.163 "A CASE OF 42 yr OLD FEMALE WITH MULTIPLE HEALTH EVENTS SINCE BIRTH" I have been given the case to solve in an attempt to understand  the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan  SYMPTOMS: 1.HEADACHE: 2.SWELLING 3.BREATHING DIFFICULTY  4.SLEEP DISORDER 1.HEADACHE sudden in onset,very severe.present since  she is 2yrs.Increased attacks of migraine in 24yr,34yr,during menses. D/D: sub-arachnoid hemorrhage.  Investigation: 1.CT,MRI to confirm brain tumor. 2.calculate ICP 3.CSF analysis for infections  4.Angiography Treatment: Triptans 2.SWELLING swelling is present since 1yr.It is mostly present on face and abdomen Causes of swelling: Swelling could be due to hemolytic anemia,oxidative stress, G6PD deficiency which is first and major step in production of NADPH which is required for s