GENERAL MEDICINE : MY EXPERIENCES WITH NEURONAL AND GENERAL CELLULAR PATHOLOGIES WITH CBBLE AND PAJR

SHARING E-LOGS EXPERIENCES

Hi, I am SAI PRANEETH BATHINEEDI a medical student . This is an E-Log, that depicts the patient centered approach for learning medicine .This E-Log has been created after taking consent from the patient and their relatives. The links that were used by me for understanding the available data on the particular disease have been mentioned below in each post . Hope you learn valuable information after giving it a good read !


NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.


GENERAL MEDICINE : MY EXPERIENCES WITH NEURONAL AND GENERAL CELLULAR PATHOLOGIES WITH CBBLE AND PAJR.


A Big Hello to all my readers🤝,
As I have already mentioned I am here to basically describe all my patient experiences that including both the hospital and telecom case takings that happened between june 2021 to june 2023.

To begin with, I was at the grass root level in the medicine food chain system at our hospital that being said I was very much excited to walk through every inch of this hospital to learn about various diseases and their actual clinical presentations that are seen in day to day life by our beloved doctors starting from medical student upto the HOD(head of department);

  MY FIRST CASE PRESENTATION:

To be honest I was very much thrilled to see the ICU( intensive care unit)  and then I had instantly decided to go inside and take the case which goes as;


I was assigned a CNS (central nervous system) case of  left sided hemiparesis secondary to CVA(cerebro vascular accident) involving the middle cerebral artery territory.
As soon as i saw the patient i noticed his sleeping posture on the bed in semi recumbent position and then i started asking few basic demographic details and chief complaints to my patient which obviously was very difficult to understand since his speech was slurred. 
Then i took rest of the history from the attender(wife) who was very cooperative and  she said she felt helpless on seeing the patients condition and this really hit me hard and made me introspect myself about my knowledge regarding stroke and CNS examination which was clearly deficient and then on i have decided to go back to study the basics of examination and the pathophysiology of stroke that day.
 
Next day i went back to the icu and took a postgraduates help and finished completing my examination and understood how we arrived at the provisional diagnosis and sadly the patient was discharged the next day with advice for physiotherapy and on some anti coagulant medication, hoping that his condition would improve and him to lead a productive life!!!















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