riteesh56

TOPICAL STEROID INDUCED CUSHING SYNDROME Hello everyone, I am a final year medical student. Recently I came across an interesting case in my clinical rotations. Here we discuss our individual patient's problems through series of inputs from 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 log book also reflects my patient-centered online learning portfolio. Your valuable inputs on the comment box is welcome. This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. This is a seemingly interesting case of a 22year old male who came with complaints of distension of abdomen and facial puffiness since 8 months. If my memory served me right I could only think of Cushing’s syndrome but I found it cryptic as to what might have been the cause with no known history of oral steroids. So

Hello I am G RITEESH ROLL NO 56  final year mbbs student  I was given this case of paraparesis The entire details of the case are given in link below. Please go through the link before reading  how I came to the diagnosis                  https://srianugna.blogspot.com/2020/05/hello-everyone.html The points to be understood before going in to the diagnosis are: 1. His age 18 years 2.sex male 3.complaints. That is bilateral lower limb weakness 4.other complaints like Edema non pitting type 5.difficulty in squatting and getting back to his standing position  6. Difficulty in wearing chappals  7.abnormals findings in investigations are:                       CUE .albumins  positive                                                   Pus cells 3to4 cells                        RFT:elevated urea, creatinine, Uris acid, phosphorus, Chloride                        HEMOGRAM: normocytic and  normochromic with lecucocytosis                        

By.G RITEESH         ROLL NO. 56  General medicine case discussion on a 42 year old women with multiple health events since birth you can find the entire real patient clinical problem in this link https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1.    From the information collected her current issues are :  Current issues-  frequent falls to the left. Left foot started giving out as well as hand. one fall down stairs sprained and broke ankle (last year). Still  require large amounts of salt to not feel sick (more salt needed when feeling sick) Ingest about 2-4 Tbs a day. Poor stress response. Swelling/ hair loss  (head and eyelashes) Fatigue. Left jaw pain up into face. Breathing is always struggle for me. Intolerance from most foods, smoke. I never sweat generally sick or not sick. Swelling from emotional stress, eating the wrong thing, exercise, smoke.  Weakness whenever having exertion. Always crave salt and fats, I get swollen I