Jabeen's e-logs

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 available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: Case history : 40 year old man -  carpenter by occupation  Presented to our hospital with complaints of --------Fever high grade since 3-4 days , continuous, associated with chills and rigors  -- pain abdomen - @ Right upper quadrant since 2 days ,radiating to back , gradually progressive  Severe in intensity  Assosciated with 2 episodes of vomitings- non bilious,non projectile , containing food particles and water  He also complaints of burn

http://medicinedepartment.blogspot.com/2020/12/medicine-question-paper-for-december.html Questions: 1) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here: http://ushaindurthi.blogspot.com/2020/11/55-year-old-male-with-complaints-of.html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? A:  A 55 year old male maestri(who builds houses)with Type 2 Diabetes Mellitus who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right upper limb and lower limb. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? A: Subcortical infarcts are caused because of the minute branches of main arteries supplying the subcortex   rather than cortical  area which is supplied by major artery 3. What is the pathogenesis involved in cerebral infarct related seizures? A: Infarct causes hypoxia which causes imbalanced electrical activi