Narketpally syn local CBBLE: Participatory medical cognition (August 2026)

                                            

[3.00 pm, 8/3/2026] cm: OPD today.

Young man with scleroderma, cutaneous vasculitic ulcers, digital infarcts, with spondyloarthropathy, severely reduced chest expansion of 1 cm with Schobers not done, reduced cervical spine mobility suggestive of OPLL

                                                     

           

[9.41 pm, 8/3/2026] cm: Next patient had just low backache and while the schobers was forgotten in the previous patient where it was more likely to be positive, this image turned out to be a good demonstration of the elemental landmarks , bilateral si joint dimples and measurements that can be archived

                                    

                                

                                
[10.22 am, 8/4/2026] cm: OPD now

Metabolic syn with sensory ataxia

                
[11.34 am, 8/4/2026] cm: PUO and sensory ataxia Admitted in the medicine ward from OPD right now. Nice pleural rub on auscultation other than wheeze.