Saturday, February 21, 2026

52M with Metabolic Syn 6yrs, SOB, NYHA II, Sensory ataxia 2023 Telangana PaJR

 
21-02-2026

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 AVAILBLE GLOBL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[11.05 am, 21/02/2026] PPM 1: OPD now
52M with one episode of gait ataxia in June 2023 recovered after a month. Recurrred again since last two days.
                           
Videos of his gait ataxia 👇
[4.39 pm, 21/02/2026] PPM 1: @PPM3 @PaJR Health please share your image to text extracted data around the patient's 2023 typed but image data attached here
Apparently the patient already had heart failure for 6 years with NYHA II with metabolic syn phenotype for many years.
Interestingly the 2023 diagnosis of acute ganglio-neuropathy treated with iv steroids accompanied by a tumor like shadow in chest PET CT may have actually been a phantom tumor due to his heart failure secondary to metabolic syn.
                                            

                                                
[4.40 pm, 21/02/2026] PPM 1: Today's chest X-ray and ECG is consistent with his chronic CAD and heart failure


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