Anahita behara

 Draft ??? 17/05/2025 Draft: Optimizing Clinical Complexity Around Fever in Narketpally Introduction Febrile Illness is among the most commonly seen clinical symptomatology and presents a  diagnostic challenge in resource-limited and epidemiologically complex regions like Narketpally, Telangana. This semi-urban setting experiences a broad spectrum of febrile illnesses influenced by seasonal patterns, endemic infections, and a dual burden of communicable and non-communicable diseasesThis review of 77 cases of a wide array of fever diagosis and its management would help us understand the challenges faced by healthcare providers and patients to the challenges faced with this clinical complexity. Optimizing the clinical approach to fever in such a context necessitates a refined, context-specific strategy. Clinical Complexities and Challenges Diagnostic Overlap : The overlapping symptomatology of many febrile illnesses, such as myalgia, rash, and headache, complicates early diag...

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...