Dr Raga Deepika Chakravarthula

 SOKKAM CHIEF COMPLAINTS: PATIENT WAS BROUGHT WITH COMPLAINTS OF FEVER SINCE 3 DAYS AND WEAKNESS OF RIGHT UPPER LIMB AND LOWER LIMB SINCE 31/08/23 AFTERNOON 3PM. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO.HE THEN DEVELOPED FEVER OF HIGH GRADE WITH CHILLS AND RIGOR ,RELIEVED WITH MEDICATION.NO DIURNAL OR SEASONAL VARIATION.HE THEN DEVELOPED WEAKNESS AND UNABLE TO MOVE RIGHT UPPER LIMB AND LOWER LIMB SINCE 6 HOURS SUDDEN ONSET,WHILE TAKING BATH,N/H/O FALL,H/O ?LOSS OF CONSCIOUSNESS FOR 5 MINUTES N/H/O INVOLUNTARY MOVEMENTS IN BILATERAL UPPER AND LOWER LIMB,UPROLLING OF EYEBALL,TONGUE BITE N/H/O BLURRING OF VISION DEVIATION OF ANGLE OF MOUTH TO HIS LEFT SIDE SLURRING OF SPEECH PRESENT LAST BINGE OF ALCOHOL 2 DAYS AGO PAST HISTORY: N/H/O COUGH,BURNING MICTURITION,SOB,PALPITATIONS,PEDAL EDEMA N/K/C/O HTN/DM/CAD N/H/O VOMITINGS,LOOSE STOOLS,PAIN ABDOMEN PERSONAL HISTORY: DIET: MIXED  SLEEP: ADEQUATE BOWEL AND BLADDER MOVEMENTS: NORMAL ALCOHOL: REGULAR DRINKER SINCE 25 YEAR...

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  Blog of her previous admission-  https://venkata-phaneendra.blogspot.com/2022/02/13-yr-f-with-sickle-cell-crisis.html History - patient was apparently asymptomatic until 4 years of age  Then she developed fever, pain abdomen and was taken to nilofur hospital where patient was investigated and was diagnosed to have sickle cell anemia  Since then she's been up for the Followup  Her admissions previously for bronchopneumonia in the initial years with frequency of 2-3 times per year  Patient was taken to the thalassemia and sickle cell anaemia society and was having blood transfusions s...

It's our day 1 in the residency programme to attend the district residency in nagarjunasagar It started with zero expectation towards it With the questions popping my head , How will I matter? Will I be able to make difference to the people here? Will I change ? With no answers to these questions the journey of residency begun! Hoping the journey unveils it's own beauty and answers to these questions! This blog is journey dwelling these questions ! Day1 As the day begun started our journey to the nagarjuna sagar  Lovely weather and people with warm welcoming hearts showered us purest forms of love  Innocence and warmth of the people made me realise the value of communication  As the day passed with few opd  Cases dealt with no boundaries to the subject /system but the person as a whole No limitations to the branch or system!  Evening walk on the roads of sagar dam  With beautiful panoramic view of the nature made me realise the value of peace   E...

Being a resident in a tertiary center is like a blessing in disguise with lots of learning opportunities and a wide range of patients to work with from admission until discharge. This is a compilation of a few such cases that aroused my interest in the field of neuroscience.  I've penned down a few experiences during my residency in the Department of General Medicine. One case involved a 45-year-old male in the outpatient department. He had jerking movements in his arms and legs, and his sister, who was sitting beside him, had similar movements with less intensity.  This made me wonder about the microscopic structures called neurons that control these visible movements, which are under the control of genetic material within cells.  Further investigation revealed a family history of similar complaints, suggesting an autosomal dominant mode of inheritance.  After conducting a thorough clinical examination, history, and pedigree chart, we discovered that there was a fam...

Mortality meeting lingaiah Cdm Cme Cdm prashanth Mortality meet anjiaiah Mortality meet Chandraiah Cdm nithya Shock central meet Cdm kamalamma Central meet dm+htn Mortality yadappa Mortality venkanna    Mortality seemaiah Central meet - thesis

25 year Old student ,resident of annareddy gudem is brought to the opd with cheif complaints of  Cough since 1 month Fever since 1 month Patient was apparently asymptomatic 1 month back then he developed  Cough  Duration 1month Onset insidious,  Occasional - 5-6 bouts /day Non productive Non barking type Non paroxysmal cough Associated with fever  No post tussive vomiting Fever- Low grade , intermittent, not associated with chills and rigors, No diurnal variation Not associated with burning micturition, loose stools,vomiting ,pain abdomen Past history-  2009-10‐->   Patient developed weakness of lower limbs, difficulty in walking  Was taken to private hospital for the same  Weakness of the limbs-- Insidious onset, gradually progressive, paresis Weakness begun in the lower limbs gradually progressed to upper limbs over 4- 5 months Weakness distal to proximal progression With tipping of tors, slippage of chappals Later patient developed diff...

55 year old male cattle rearer by occupation was brought to the casualty with complaints of Inability to move left sided upper and lower limb since 6 days Inability to speak since morning Patient was apparently asymptomatic 6 days back then he developed weakness of left upper and lowerlimb after waking up from sleep For which he was taken to hospital and diagnosed to have multiple infarcts in.......areas and was treated for the same  During the stay patient developed ? episodes of seizure Lasted for 10 min , ?focal , post ictal confusion for 15min  Later patient was discharged  Yesterday night patient had an episode of seizure , focal tonic clonic involving left upperlimb for 5minutes , gained consciousness after 10 minutes  Later patient was unable to speak Patient was brought to the hospital  Past- K/C/O Dm since 5 years (under irregular medication) Had left index finger amputated( ? Due to diabetes) Personal-