22-02-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
Afternoon ward new patient:
37 year old man with PUO since 1 month and altered sensorium since one week. Admitted on Saturday evening and recovered into nearly normal sensorium for an hour after which again slid into coma. On examination there's right sided conjugate eye deviation making it difficult to elicit the oculocephalic reflexes. No meningeal signs. We did the meningeal tap anyways and struck gold!
@PPM2 @PPM3 @PPM4 I recall you were the first ones to share and document and review these patients with tubercular meningitis with normal cell count with just hypoglycorrhaceia and increased proteins! Can you share those previous patient case reports here or even the reviews? I have lost all that previous data from my previous phone. @PPM5 any similar patients in your tubercular project data?
His CSF:
[24/02, 15:06] PPM7: CSF- Cell count 🔬
Only 1 cell
Lymphocyte
[24/02, 15:06] PPM7: CSF- Biochem reports.
PPM 1 - His brain imaging:
Nothing very impressive except mild hydrocephalus consistent with raised ICP due to his tubercular involvement that is peculiar in showing normal cell count!
Chest X-ray today.
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