Autotopagnosia
Every day, you have different experiences and you learn new things. Your brain cannot store all of that information, so it has to decide what is worth remembering. Memory is the process of storing and then remembering this information. There are different types of memory. Short-term memory stores information for a few seconds or minutes. Long-term memory stores it for a longer period of time.Memory doesn't always work perfectly. As you grow older, it may take longer to remember things.It's normal to forget things once in a while. We've all forgotten a name, where we put our keys, or if we locked the front door. If you are an older adult who forget things more often than others your age, you may have mild cognitive impairment. Forgetting how to use your phone or find your way home may be signs of a more serious problem, such asAlzheimer's diseaseOther types of dementiaStrokeDepressionHead injuriesBlood clots or tumors in the brainKidney, liver, or thyroid problemsReactions to certain medicinesIf you're worried about your forgetfulness, see your health care provider.NIH: National Institute on Aging
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A 40 year male having multiple joint involvement, PIP ,wrist , right shoulder, knee joint He has presentation of migratory arthritis. On physical examination he has subcutaneous nodules (painless & non tender) on both forearm since 3 years. *On asking he said his R.A FACTOR was Negative* What should be the next line of investigations. & DDx ? *Chief Complaints* He is suffering from pain & tenderness in joints. Assymetric joint involvement. From last 3 years *History* No family history of arthritis *Physical Examination* Subcutaneous nodules painless non tender on forearms
Wahib Zaidi0 Like7 Answers- Login to View the image
F.55yrs. Diagnosis please.
Dr. Syam Sundar Patro0 Like6 Answers - Login to View the image
12 year old boy c/o these lesions from past 3 months (appeared in winter 1st time) As per parents, these are not active lesions, earlier they were more erythematous and dry, when child scratches bleeding+ *History* On Elbow he has LICHEN NITIDIS I was suspecting him to be ATOPIC , on taking history, his brother's father (chacha) has ASTHAMA & his Maternal side also has ASTHAMA.
Wahib Zaidi0 Like5 Answers - Login to View the image
F.71 years. Shortness of breath 6 days.
Dr. Syam Sundar Patro0 Like5 Answers - Login to View the image
Pedunculated subserous fibroid torsion *Chief Complaints* Abdominal pain with vomiting *History* 45 year old Para 2 previous 2 normal vaginal deliveries presented with sudden onset abdominal pain with two episodes of vomiting. Pain gradually increased in intensity. Patient had history of heaviness in lower abdomen for 3 months. No history of loss of weight or appetite. *Vitals* Pulse 100/ min. BP 116/90 mmHg. *Physical Examination* Per abdomen mass palpable around 16 weeks size of gravid uterus mobile from side to side. Tenderness present . Per vaginal examination uterus irregularly enlarged to 16 weeks. Tenderness present. *Investigations* Ultrasound done revealed fibroid 9*8 cm in uterus in fundal area. Free fluid in pelvis present. *Diagnosis* Fibroid uterus with acute abdomen. *Management* Patient taken for emergency laparotomy and proceed. OT findings :Fundal subserous pedunculated fibroid with torsion of two and half turns with intra fibroid hemorrhage and necrosis. Rest uterus normal. Bilateral ovaries and fallopian tubes normal. Peritoneal fluid hemorrhagic. Myomectomy done and peritoneal lavage given.
Dr. Viraj R. Naik0 Like4 Answers