Dr Kulkarni thesis

  A 28 year old male came with chief complaints of sudden fall followed by weakness of both the lower limbs (paraplegia) and loss of hand grip 10 days back, associated with bowel and bladder incontinence. History of present illness: Patient was apparently asymptomatic 1 month back, following which he developed productive cough, low grade fever for which he underwent sputum studies and tested positive for AFB bacilli and started ATT - HRZE regimen, 2 tab according to weight/PO/OD. He developed generalized weakness and myalgia 15 days back. 10 days back, patient got up from bed and went to open the door and suddenly fell down, with no loss of consciousness and no froathing. Following which his brother got him up and since then Patient developed bowel and bladder incontinence. No sensory impairment. Past history : He is a known case of TB since 1month and on ATT - HRZE Not a known case of DM,HTN, ASTHMA, EPILEPSY, THYROID DISORDERS, STROKE, CAD. Personal history : Diet - mixed Appetite -

  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 15 year old boy presented to the Opd at 2pm with the complaints of Slippage of footwear since 6 months Difficulty in walking since 6 months  Difficulty to get up from bed since 6 months Patient is in his 8th grade at a government school at a local village.  His parents work as Masons at a local village. He has an elder brother who is studying degree and a younger sister who is in her 10th grade. He was apparently completely alright 6 year