Decoding Medicine

Now here is another interesting case presented by Dr Hitesh and Dr Anuraga in the post  https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1 An 18 year old patient came with the following chief complains: Weakness of both lower limbs since 20 days Bilateral edema in lower limbs. As we take a look at the typical history of weakness which is more marked in the proximal limb suggests  MYOPATHIC WEAKNESS               Differential diagnosis  https://en.wikipedia.org/wiki/Myopathy#Differential_diagnosis At birth None as systemic causes; mainly hereditary Onset in childhood Inflammatory myopathies – dermatomyositis, polymyositis (rarely) Infectious myopathies Endocrine and metabolic disorders – hypokalemia, hypocalcemia, hypercalcemia Onset in adulthood Inflammatory myopathies – polymyositis, dermatomyositis, inclusion body myositis, viral (HIV) Infectious myopathies Endocrine myopathies – thyroid, parathyroid, adren...

  <Disclaimer: 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 with an aim to solve those patients' clinical problems with collective current best evidence-based inputs. This E logbook also reflects my patient-centered online learning portfolio and your valuable inputs on the comment > This blog was prepared with the help of valuable inputs and under the guidance of Dr. Bharath Chief complaints A 28 yr old female, a resident of Kolkata, presented with  c/o Burning micturition since 4 months c/o 2 episodes of hematuria c/o left groin pain since 4 months c/o lower abdominal pain since 4 years C/o difficulty in breathing since 4yrs History of present illness :  The patient reportedly contracted TB at the age of 11 yrs in 2001 after which she sta...