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BY MONTHLY INTERNAL ASSESSMENT-DECEMBER

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  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 T2DM who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right UL & LL secondary to ? right temporal lobe epileptogenic focus. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are caused by occlusion of a penetrating artery from a large cerebral artery, most commonly from the Circle of Willis. These penetrating arteries arise at sharp angles from major vessels and are thus, anatomically prone to constriction and occlusion.  So subcortical infarcts are more common than cortical infarcts. 3. What is the pathogenesis involved in cerebral infarct r
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52 yr old male with DCMP with HFrEF , Type 2 DM , HTN , Hypothyroidism , Diabetic Neuropathy

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A  52 yr old male from bhuvanagiri , carpenter by occupation came to casualty with c/o sob & decreased urine output from one day. Patient was apparently asymptomatic 15 yrs back when he had an episode of giddiness, profuse sweating and altered sensorium at midnight for which he was taken to a hospital where he was diagnosed with type 2 DM and heart failure. Angiogram was done and symptomatic treatment was given. Patient was alright with those medications until last month when he developed anasarca , SOB and giddiness for which he visited a local hospital and from there he was referred to our hospital. Here he was diagnosed with dilated cardiomyopathy secondary to ?cad , HFrEF , type 2 cardiorenal syndrome,dm+,htn + ,diabetic neuropathy and drug induced hypoglycemia. Symptomatic treatment was given He was alright with those medications until 3 days back when he developed sob & decreased urine output from one day. Sob gradual in onset ,progressive,he wakes up 3 hrs after sleep wi
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