A case of compressive myelopathy secondary to vertebral metastasis lesions at T12 secondary to ? thyroid malignancy
<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-centred 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. Zain sir, Dr. Aashitha ma'am, Dr. Manasa ma'am , and Dr. Vamsi Krishna sir Chief complaints A 46 / F who is a housewife by occupation and is a native of West Bengal came with •c/o weakness of lower limbs since 3 months •c/o inability to walk since 1 & 1/2month •c/o pain and inability to extend her right lower limb since 1&1/2 months History of present illness ...
[5/14, 1:21 PM] Divya Mahapatra 2015 Kims: So sir as I went through the case there were certain things that I didn't understand why they were mentioned...like the importance of her waking up in the middle of the surgery...her grandmother also had same history...was it to point out some hereditary relation
ReplyDelete[5/14, 1:22 PM] Divya Mahapatra 2015 Kims: Are we supposed to pile up questions like these in our blogs..
[5/14, 1:28 PM] Rakesh Biswas: Yes please pile these questions. We shall share it with the student who wrote the logbook as well as the patient.
And to explain it myself I would take it this way. When we collect a patient's life events we suspend our judgement about the significance of those events. Who knows some things that currently appear irrelevant may become relevant if when we see the bigger picture?