Munukutla Sai Mythili

Lets start off with a salutations HELLO ! I am Mythili a novice to the never ending World of medicine. Being an undergraduate from the country of India, I present my understanding,or rather the difficulties I faced during the herculean task of accurate diagnosis. During the course of my curriculum l have learnt that the accuracy of initial diagnosis is critical and forms the fundamental for treatment So join me on my journey as I try to master the art of diagnosis.  CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   Let me tell you about the patient who has helped me open my eyes to the world of

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from global online community CHEIF COMPLAINTS 35 year old female came with cheif complaints of -Diminision of vision of right eye since morning 3am -Headache since 2 days HOPI Patient was apparently asymptomatic 2 days back then started developing diffuse headache sudden in onset,gradually progressive associated with neckpain  No H/O nausea and vomiting,photophobia,phonophobia Then since morning 3am had sudden painless loss of vision No H/O ocular trauma or head trauma No H/O giddiness,LOC,weakness of both UL and LL No H/O fever,cough,cold,chestpain,palpitations,orthopnea,PND PAST HISTORY: H/O some insect bite 2 months back and took herbal medication N/k/c/o DM,HTN,Epilepsy  K/c/o hypothyroidism since 5 years and on tab.thyronorm 100 mcg. GENERAL EXAMINATION