BMJ Elective Case Log

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable  Click Here)   by BMJ Elective Student.  This case is about a 51 years old female- Abstract:  Mentally ill person (1992) >> 4 years of failed treatment>>new treatment by neurosurgeon>> symptoms improved (restlessness, insomnia, going here and there, sense) 60-70% >> then low memory, speaks less, less receptive to questions, can not remain silent for a moment, appear to walk all around, don't do normal household activities [still has the problem] >>   fever started at 2002 >>  no improvement for a year >> hemoglobin and weight reduced and ascities >> diagnosed with TB >> treated with ATT (Akurit-4 and Akurit-3) for 10 months with improvement of the condition  While continuing psyciatric medicines developed swollen abdomen in 2016 july (with

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable  Click Here)   by BMJ Elective Student.  Case Summary:  This 34-year-old female presented with sudden hand tremors 3 days back of the initial presentation and intermittent pre-syncope. She had a history of shoulder and neck pain. Her thyroid function was done subsequently with chest X-ray and cervical spine Xray (attached below). She was diagnosed with mild hypothyroidism subsequently after repeated thyroid evaluation done.  We reduced her thyroxine to 50mcg in June 2017 and she was doing fine until 1 month back when she has again developed the same lethargy she was experiencing in March 2017. On March 2017 the lethargy became better by 80% on increasing the dose but the tests became slightly overcontrolled so we reduced it again to 50 mcg which was fine till one month back when she again developed