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Case notes

Short write-ups of real presentations from the clinic, written for colleagues and students.

IVERMECTIN

A good experience with ivermectin at my clinic in treating COVID 19 patients, most of them with pneumonia and mild respiratory distress, too afraid to go to hospitals.

CALADIUM

A man with depression, for last en years, has taken medication from all over the country including SSRI, tricyclics, anti psychotics and benzodiazepines. Occasionally felt partial improvement but never able

TOURETTE SYNDROME

A young man with obsessive behaviour and multiple motor and vocal tics. Received treatment from various places with no benefit. Aripiprazole, a new generation antipsychotic, because of partial agonist at

Carpal Tunnel Syndrome - clinical image

CARPAL TUNNEL SYNDROME

A nagging pain in hand, restlessness and numb hands at night with recurrence despite medication and local injection is typical of carpal tunnel syndrome. Rest, carpal tunnel exercises, pyridoxal phosphate

Anti- Dopamine Tremors - clinical image 2 of 2

Anti- Dopamine Tremors

A lady diagnosed with Parkinson disease at various clinics for last 02 yrs. Severly anxious over her condition, marked tremors all over the body especially coarse irregular tremors left arm.

Tremor - clinical image

TREMOR

A young onset Parkinson patient with disabling tremors. On regular anti parkinsonian therapy with little benefit. Investigations excluded wilsons disease, metabolic disease, anti GAD -ve. Magnesium level low 0.90mg/dl. Oral

TNF inhibitor in AS - clinical image 2 of 2

TNF inhibitor in AS

A man with backache of inflammatory character, limited flexion and difficulty in daily job. RA negative. HLA B27 positive. Lumbar spine xray show syndesmophytes and early bamboo spine: TNF inhibitors

Ictal Vomiting - clinical image 1 of 5

ICTAL VOMITING

A young boy with recurrent vomiting followed by headache for four years. Repeatedly evaluated for gastric, liver and kidney diseases. Neurological examination normal. No history of fits. MRI brain showed

CNS Vasculitis - clinical image 4 of 5

CNS VASCULITIS

A lady with TIA and Carotid occlusion with cerebral vasospasm.

Arterial Loops - clinical image 3 of 3

ARTERIAL LOOPS

A patient with Hemifacial spasm (Lt) with arterial loops. Loop around seventh nerve.