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.
[6:16 pm, 14/05/2026] PPM 1: Any deidentified images of the MRI with findings will be appreciated
[6:17 pm, 14/05/2026] PPM 1: Turp on 2/3/26
What was his history before his TURP? When was he absolutely alright?
What happened after his TURP?
[6:21 pm, 14/05/2026] PPM 3: Sharing sir one moment
[7:12 pm, 14/05/2026] PPM 3: After his turp he was alright then since 3-4 days he was feeling fatigue and on the day of presentation he got did his regular activities at 9 am he was eating the food and suddenly was unable to talk, and has deviation of the mouth to the left side
No h/o involuntary movements, tongue bite , rolling of eyes, urinary or fecal incontinence
Doesn't have any known comorbidities
[7:19 pm, 14/05/2026] PPM 1: And why did he have to have a TURP?
What were his symptoms prior to that?
Could the turp have been avoided?
Did the turp have anything to do with his recent symptoms?
[7:21 pm, 14/05/2026] PPM 3: He had pain and burning micturition, need to take history of pre turp
[7:23 pm, 14/05/2026] PPM 1:
Yes and there could be some leads there to his bicytopenia
What if this was a prostate malignancy rather than BPH? Do we have the turp tissue biopsy or this patient was operated in a non academic centre?
[7:23 pm, 14/05/2026] PPM 3: He was operated here
[7:24 pm, 14/05/2026] PPM 3: Before turp he had 2 blood transfusions done
[7.25 pm, 14/05/2026] PPM 1: Aha!That does raise the suspicion further
We don't know what is here because that's supposed to be deidentified but from what I can guess it's likely a non academic centre! 😅
[7.26 pm, 14/05/2026] PPM 3: 😅😅
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