25M It hc pain 3 days, jaundice 3 years back recovered, spastic quadriparesis birth, Telangana PaJR

26-10-2023

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 THROUGHSERIES 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.

A 20 years old male came to opd with chief complaints of yellowish discoloration of eyes since 1 year.. The patient was apparently asymptomatic 1 year back then developed yellowish discoloration of eyes Positive history: loss of appetite, irregular bowel and bladder movements, dehydration

Negative history: N/K/C/O asthma, TB, epilepsy, thyroid.

[12.15 pm, 26/12/2025] PPM 1: Reviewing this patient now after 2 years in OPD

29F With Quadriparesis Bedridden Since 3 Months Telangana PaJR

 

14-06-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S 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 PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[14-06-2025 17.07] PPM 1: Afternoon inpatient:

29F with quadriparesis, inability to walk and bed ridden since 3 months.

Had normal milestones since birth and was fine till 7 years of age when she first demonstrated abnormal behaviour in sudden running amok and often far away from home whenever she got the opportunity along with a decline in her academic prowess.

Gradually she started developing difficulty in speech and since the age of 19 become mute along with gradual paraparesis.

Current motor power is 4/5 in upper limbs and 2/5 in lower limbs along with muscle wasting but hypertonia and exaggerated reflexes. Jaw jerk is absent.

Family tree and certain deidentified phenotypic features are attached.

71M With Cervical Myelopathy Telangana PaJR

 

26-05-2025

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.

[26-05-2025 13.06] PPM 1: OPD now

71M with gradual severe onset of pain in the neck 3 years back following which he was operated with an anterior approach laminectomy of cervical vertebrae and after that has developed spastic quadriparesis features with spastic gait and hypertonia hyperreflexia in all four limbs and planter extensors bilateral

Currently complains of abdominal pain like neuralgia and constipation.

https://youtu.be/en7OqrlNB_0?si=mFUHhKLDdw87U-_L

50M With Motor Neuron Disease Presenting with Gradual Quadriparesis and Left Foot Drop Telangana PaJR.

 

07-05-2025

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 DISCUSSOUR 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.

[02-05-2025 13.17] PPM 1: OPD today:

50M toddy tree climber with left foot drop since 6 months and quadriparesis with increased reflexes including jaw jerk.

[07-05-2025 10.18] PPM 1: Reviewing him again today.

 https://youtu.be/PxuFuoj-N6g?si=c3H4NjsiO55hqHre

[07-05-2025 10.36] PPM 1: Jaw jerk  https://youtu.be/4MuiP4swbAw?si=ctsSvnPFE9hrZeSy