"MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "

I’m Rajashekar Ponna UNDERGRADUATE MEDICAL STUDENT, aspiring with a deep passion for becoming a good doctor. I am committed and dedicated , to continuous learning, and effective communication to provide the best health care to my future patients.

CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER

 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.

MY FIRST PATIENT INTERACTION 

While I was posted in esteemed dept. of general medicine in my 7th semester .A 25 year old male presented to general medicine department with complaints of recurrent abdominal pain from 3 months. The patient described the pain as intermittent, crampy in nature, and localized to the lower abdomen, pain is associated with bloating, excessive gas, and occasional loose stools. There was no history of weight loss, rectal bleeding, or fever.

45 Year old male with abdomen pain 

https://rajashekarponnarollno124.blogspot.com/2023/04/this-is-online-e-log-book-to-discuss.html

This was a case of a 45 year old male patient who works as a carpenter who presented to the general medicine department with the chief complaints: abdominal pain, constipation, and vomiting. The patient complained of pain in the abdomen, to be specific in the epigastric region, which began 3 days ago. The pain was sudden in onset, progressively worsened, and radiated to the back. Pain increased after consuming food and lying flat, but was relieved on sitting or bending forward.Patient also complained of unable to pass stools for the past 3 days and had vomited three times two days ago, with the vomit containing food particles, vomiting was non-projectile, non-bilious, and did not have any blood content.

No history of dysphagia, heartburn, abdominal distention, melena, weight loss, fever, cough, cold, shortness of breath, loose stools, or dizziness. There were no significant medical conditions such as diabetes mellitus (DM), hypertension (HTN), tuberculosis (TB), asthma, epilepsy, cerebral vascular accident (CVA), or coronary artery disease (CAD). However, the patient did have a history of binge alcohol consumption 2 days ago and consumes alcohol on a daily basis, typically two quarters.

Regarding personal history, the patient works as a carpenter and follows a mixed diet. His appetite is normal, sleep is adequate, and bowel and bladder habits are regular. There is no significant family history or notable treatment history.

Considering the patient's presentation, my Probable diagnosis diagnoses would be acute pancreatitis, given the patient's history of a similar episode in the past, and assessing for gastrointestinal obstruction due to the symptoms of abdominal pain, constipation, and vomiting. Peptic ulcer disease is also a consideration due to the location of the pain and its association with food intake, although the absence of heartburn or melena makes this diagnosis less likely.

55 year old male with slurred speech and deviation of mouth 

https://rajashekarponnarollno124.blogspot.com/2023/03/long-case-1801006131.html

This is a case of 55 year old male occupation by carpenter who presented to the general medicine department with chief complaints of slurring of speech and deviation of mouth towards left side. the patient complained of slurring of speech which is sudden in onset, which began 2 days ago and patient wife noticed deviation of mouth towards left side on the same day.

This episode is not accompanied with headache , vomiting, blurring of vision and loss of consciousness. No history of weakness in upper and lower limb. No history of injury to the head. No history of numbness , parathesisa, altered sensorium , altered smelling , drooping of eye lid and no difficulty in swallowing. 

Regarding his personal history he works as carpenter and follows mixed diet,his appetite is normal,  sleep is disturbed , bowel and bladder regular, addictions:he used to drink saara when he was 23 years old and stopped when he was 30 years old,and he is a k/c/o hypertension since 1year on atenolol and amlodipine 5mg and not a known case of DM,TB,asthma,epilepsy,CAD.

Regarding family history his father is known diabetic and hypertensive. 

Considering patient presentation my probable diagnosis would be Cerebrovascular accident probably of thrombotic aetiology.