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 series of inputs from the 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 logbook also reflects my patient-centered online learning portfolio and your valuable inputs on the comment > A 47-year-old gentleman from Suryapet, who owns a transportation business, presented to the outpatient department with the : Chief complaints :  The patient came with the chief complaints of palpitation  since last 3 days ago. History of present illness :  The patient was apparently asymptomatic 3 days ago He then developed palpitations with each episode lasting for 5-10 minutes before disappearing spontaneously.  The nature of the heartbeat was described...