General medicine internal one

 



















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Dandy walker malformation

INTRODUCTION  https://www.ncbi.nlm.nih.gov/books/NBK538197/  Dandy-Walker malformation or syndrome is a rare congenital neurological anomaly that affects the development of the cerebellum, the region of the brain responsible for motor coordination and balance. This posterior fossa anomaly is characterized by agenesis or hypoplasia of the vermis and cystic enlargement of the fourth ventricle, causing upward displacement of the tentorium and torcula. Most patients have hydrocephalus at the time of diagnosis. Dandy-Walker malformation is the most common posterior fossa malformation, and it typically occurs sporadically. The syndrome can manifest with a wide spectrum of neurological and developmental symptoms, making timely recognition and management crucial for improving patient outcomes CASE REPORT  A 13 year old boy presented to the general medicine OPD of KIMS, Narketpally on 17th May 2025 , with the following complaints dribbling of urine from the back of the p...
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feve projr sle 30/F vasculitus 28310

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 sle - 202228310 Diagnosis HYPOGLYCEMIA SECONDARY TO ?ADRENAL INSUFFICIENCY WITH SLE WITH CNS VASCULITIS Case History and Clinical Findings Came to casualty yesterday with complaints of loss of consciousness since 30 mins after alleged consumption of T.Clonazepam 2mg ( 2 tablets ) with hypoglycemia ( 56gm/dl)Also complaints of polyarthritis since 4 months with morning stiffness in joints and pigmentation all over her face and ears since 3 months.Seizures - 1st episode 4 years back (sudden tragic loss of sister being the trigger) used medication2nd episode - after 6 months3rd episode - after one year4th episode - yesterday night ( lasted for 2 mins, post ictal confusion for 10 mins )since April, 2022 she stopped taking T.PREDNISOLONE and T.HYDROXYCHLOROQUINE after discharge from hopsital due to ? viral infectionICU bed no 4Day 1S: patient is responding to commandsC/o fever since 10 daysC/o oral ulcersO: o/e patient is opening eyes on vocal commandsPatient is able to understand and a...
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Case report of Acetamiprid poisoning with Turquoise vomitus

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Introduction  Acetamiprid belongs to a new systemic neonicotinoid insecticide that is effectively used for crop protection and flea control in agricultural works [ 1 ]. It has low toxicity in mammals, but ingestion of large amounts can cause severe toxicity. It is described in a case report that a buffalo exhibited severe gastrointestinal symptoms and respiratory distress following accidental ingestion of acetamiprid in India [ 2 ]. Here we describe a case of a 34 year old male with diabetic ketoacidosis and acetamiprid ingestion  Case Report  This is the case of a 34 year old male who is a resident of Nalgonda m, Telangana , who is a farmer by occupation , was brought to the casuality at 6:00am with history of Acetamipride 20% (insecticide) ingestion  approximately 50gm powder in 2 glasses of water , he presented with 3 episodes of turquoise colored vomitus and shortness of breath since 1:00am   There is n/h/o pain abdomen , giddiness , nausea , chest pain...
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