I would like to give my analysis of the below mentioned blog made by Dr. K. Vaishnavi ma'am with respect to my bimonthly blended assignemnt. https://karnativaishnavi.blogspot.com/2021/08/cushings-syndrome.html?m=1 My analysis is mainly with respect to the following aspects:- 1. What is the evidence of topical preparations of glucocorticoids causing Cushing's syndrome? Is it more as compared to oral or similar? Do other modes of administration have the same effects? 2. Evidence of the laboratory investigations used in the diagnosis of Cushing's syndrome. 3. Efficacy of the therapeutic interventions mentioned for this patient? Addressing the 1st issue- 1. In this patient, order of priority of his problems according to me are as follows: Itchy, ring like lesions over trunk, arms, thigh and groin since 1 year Purplish stretch marks over abdomen, limbs since 1 year Facial puffiness and weight gain Feeling low, not talking to anyone Low back ache Pedal edema Loss of libido, ere...
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“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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.”
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29 years old female with c/o joint pains since 10 months
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33 years old female with weakness in the left upper limb
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32 years old male with c/o yellowish discolouration of eyes since 1 and 1/2 months
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70 years old male with left sided upper limb weakness since 2 days
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