BIMONTHLY ASSESSMENT
This is an online assessment - BIMONTHLY Link to above assesment: https://medicinedepartment.blogspot.com/2020/12/medicine-question-paper-for-december.html?m=1 1) Link to the first question : 55 M with recurrent seizures . https://ushaindurthi.blogspot.com/2020/11/55-year-old-male-with-complaints-of.html?m=1 A) Problem representation of the patient : Ans) Recurrent Focal seizures(secondary to CVA) Right hemiparesis with acute ischemic infarct in left fronto parietal area Right multiple chronic infarcts Uncontrolled sugars Uncontrolled hypertension Cause for CVA - ?Artero embolic stroke ( secondary to rupture of atherosclerotic plaque in vertebral or carotid artery) Atherosclerosis bcoz of uncontrolled diabetic and hypertension. Ecg is showing strain pattern and LVH . I don't agree with the diagnosis of NSTEMI ,as subsequent ecgs were not showing any ST depressions or q waves . So the source of embolism could be other factors than cardio embolic stroke. Pt echo not showing any