NEUROLOGY

NEUROLOGY :

 1) Where are the different anatomical locations for the cause of the problem  for each of these patients?
2) What is the most likely pathology and etiology in that anatomical location?
3) What are the diagnostic and therapeutic options in such situations and what is the efficacy of each option/intervention?
4) Please share questions that come to your mind upon going through each of the cases.

1) Dr Supraja - intern 2015 .
A case of 20 yr old male with Complaints of right upperlimb  involuntary movements with secondary generalization of bilateral upper and limbs . 




2) Dr Vineela - intern 2015
40 Y old farmer with 
Bilateral pedal edema and Dyspnea on exertion 
Tingling and numbness in lower limbs  since 1 week .
Unable to hold chappal since 1 week
Difficulty in grasping objects since 1 week 
.

3) Dr Alekhya - intern 2015 
85 Y old feme with left upper limb and lower limb weakness .



4) Dr Sridevi - Intern 2015 .
60yr old male with  head ache and neck pain since 10 days,tingling sensation of bilateral feet ,slippage of footwear and burning micturation .


5)Dr  Niharika intern - 2015 
20 year old man presented with the chief complaint of weakness in all 4 limbs.

.
6) Dr Varshitha - Intern 2015 
A 68 year old male  with the complain of giddiness since 3 days,inability to use his right upper and lower limb since 2 days.



7) Dr Yamini - intern 2015.
56 yr old female with right upper limb and lower limb weakness with left deviation of mouth since 2 hrs.

8)Dr Adarshini -2015 intern
A 50yr old male Patient from charuvugattu was brought by his attenders(daughter and his brother) to  the hospital  with complaints of loss of speech since 5 days, right upper limb weakness since 2 days and deviation of mouth to left side since 2 days. 


9)Dr Alekya -2015 intern
A 60 year old female from annaram presented with cheif complaints of
 headache and neck pain, giddiness,slurred speech since7days


10)Dr T Sai Niharika -2015 intern
A 40 year male with difficulty in swallowing and deviation of mouth.


11)Dr sindhu sailaja 2015 intern 
 60 year old woman with Right sided Hemiparesis


12)Dr Rubeena 2015 intern
    60yr male came with
 cheif complaints of giddiness since 3 days.and visual hallucinations since 3 days


13) Dr chandana 2015 intern

A 60year old female presented  with c/c of Drooling of saliva with slurring of speech since 7 days . weakness in the left upper and lower limb with deviation of mouth to right side since  6 days.


14) Dr chandana 2015 intern
A 33 year old female, came with the chief complaint of Headache and neck pain since 3 days.
And. involuntary movements of all four limbs since evening 7:00 pm


15)Dr pranavi intern 2015
A 29 year  old male , came with the chief complaint of
Tremors since 2 months
Visual disturbances since 2 months
Forgetfulness since 2 months
Difficulty in walking since 2 months
Generalised weakness since 2months


16)Dr Aditya intern 2015 
40 Y lady with quadriparesis (predominantly paraparesis of lower limbs)


17)Dr Preethi 2015 inten
A 23 year old male autodriver by occupation came with cheif complaint of muscle pain of both biceps and calves after lifting heavy weights since 1month.


18)Dr sambodhi intern 2015
A 45 year old female patient came with weakness of all four limbs, difficulty in walking since afternoon.
Predominantly lower limbs more than upper limbs, bilaterally symmetrical.


19)Dr sneha 2015 intern

33 year old male  came with the chief complaint of headache unilateral left-sided since four days frontotemporal region radiating to occipital region no diurnal variation associated with nausea blurring of vision diplopia no photophobia vomiting phonophobia
Diplopia since 2 days binocular vertical gaze evoked.


20)Dr sreeja pollishetty intern 2015
Patient came with the complaint of generalised tonic clonic type of seizure(1 episode) 
-Complaint of low back ache
Complaint of slurring of speech.


22) Dr Sindhu sailaja - intern 2015 

67 yr old with Left hemiplegia and slurred speech.

23) Dr Sindhu sailaja - intern 2015 .
60 yr old women with Right hemiparesis.


24)Dr Varshitha-intern 2015 

68 year old male was brought to the hospital by his attenders(son) with the complain of giddiness since 3 days,inability to use his right upper and lower limb since 2 days.


25) Dr Vineela - intern 2015  
45 yr old with left hemiparesis.


26) Dr Sanya -intern 2015

65 me with left side weakness


27) Dr Shivani -intern 2015 
Hypoglycemia mimicking stroke.


28)Dr Supraja - 2015 intern.
20 yr old with seizures .

29) Dr Supriya -intern 2015
23 yr old man with left sided weakness.


30) Dr Supriya intern 2015 

65yr old man , farmer by occupation came with complaints of  involuntary movements of bilateral upper and lower limbs lasting for about 3 to 5 minutes.


31) Dr Supriya - intern 2015
60year old man  came to the hospital with cheif complaints of decreased attentiveness since 3 days  and delayed response to verbal stimuli .


32) Dr Supriya - intern 2015
19 male with bilateral upper limb and lower limb weakness.

33)  Dr Alekhya-intern 2015

35 yr old male with sudden onse t seizures and altered sensorium since then ..on evaluation with multiple acute infarcts in brain with severe MS and AS.

34) Dr Sreeram -intern 2015 .

 45 yr old with quadriparesis and squint.

 
35)   Dr sreenija intern 2015
45 male with paraparesis and low backache .


36) Dr Soumya intern 2015
20 yr old AIDP -AMSAN varient.


37) Dr Madhuri intern 2015
18 yr old male with bilateral lower limb weakness.

38) Dr Aditya intern 2015
40 yr old with quadriparesis.

39) Dr saikiran intern 2015
20 yr old with quadriparesis.

40) Dr sai niharika intern 2015
40 yr old with deviation of mouth and difficulty in swallowing.


 
41) Dr Supraja -intern 2015

35 yr old with slurring of speech and diffulty in walking.

42) Dr Vineela -intern 2015.
45 yr old with recurrent hemiparesis.


43) Dr Shivani-intern 2015
65 yr old with hypoglycemia mimicking stroke


44)Dr Shivani-intern 2015.
 70 yr old with left hemiplegia.

45) Dr Deepika intern 2015

46) Dr Vamshi- pgy1

62 yr old male came to the opd with c/o of tingling and numbness of both upper and lower limbs since 15 days .

Noticed weakness in both upper and lower limb since 3 to 4 days 


47) Dr Mahathi reddy - intern 2015
55 yr old female with right side weakness and slurring of speech.


 
48) Dr Saloni -intern 2015
45 yr old with seizures 

49) Dr Kulkarni-intern. 2015

65  male with recurrent CVA and visual hallucinations and old pulmonary kochs.



50) Dr Meghana -intern 2015
30 yr old with seizures.


 51) Dr Aditya -intern 2015
42 yr old with peripheral neuropathy



52) Dr Sushma - intern 2015
58 yr old with acute hemorrhagic stroke


53) Dr Saloni -intern 2015 
23 yr old with meningitis (?TB /? Bacterial) with absent seizures .

54) Dr Shruthi -intern 2015
30 yr old male with alcohol withdrawal seizures

55) Dr Deepika -intern 2015
65 yr old with seizures
 
56) Dr Nitisha -intern 2015
21 yr old female with GBS

57) Dr Pravalika-intern 2015
25 yr old male with traumatic D12 wedge compression fracture with subluxation and compression of spinal cord with paraplegia and bowel and bladder involvement


58) Dr Rishi
74 yr old female with weakness and seizures.


 59)Dr Rishi
63 yr old with weakness and altered sensorium ( hyponatremia) 


60)  Dr Rishi - intern 2015
34 yr old male with right side weakness

 
61)Dr priyanka
15 yr old with post infectious transverse myelitis.


62)  Dr Harshith  
45 male with Spinoncerebellar ataxia 


63) Dr Sreeja 
Parkinson's disease. 


64) Dr Nagajyothi
AIDP

65) Dr Nagajyothi
Left hemiparesis.

66) Dr Ashritha 
L4-L5 spondylo listhesis.


67) Dr Apoorva
65 yr old with visual hallucinations , irrelevant talk.











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