General medicine

Hello everyone! Iam an intern in the medicine department one of the important terms of getting the internship completion is to complete my log book with my daily log what i learn during the course of my duties. Case presentation:       A 23 year old male autodriver by occupation came with cheif complaint of muscle pain of both biceps and calves after lifting heavy weights since 1month. HOPI: Patient was apparently asymptomatic 1month back , then he developed muscle pain after lifting heavy weights  , which is of dragging type and associated with tingling sensation of both upper limbs. and lower limbs extending upto midarm , migthigh and slightly above the umbilicus. -Difficulty in carring heavy weights for long distance due to pain. -Difficulty culty in getting up from squatting and sitting position. -Pain on lifting the arms above the shoulders. -Headache intermittently on exposure to the sunlight  for long time. -Slippage of footwear and taking more time in wearing slip

  R .PREETHI    INTERN   ATTENDENCE FROM    25 -05-20 to 8-06-20 Medical leave-0 Causal leave -0 23- 5-20 :  Case discussion  on Acute para paresis symmetrical bilateral                    Lower limbs weakness with sensory deficit and case related queries.    24:5-20 : Rotational sunday, studied about heart failure . 25-5-20 : case discussion on atypical presentation of progressive Right hemiparesis                  With ataxia and UMN , and queries , facial palsy types. 26-5-20 : studied about DKA . 27-5-20 : Went with patient for ophthalmology examination and radiology for CT scan. 28-5-20:   Amc work and went for typing discharge summary. 29-5-20 : OPD ; ECG of MI patient discussion. 30-5-20: Amc work, perfomed CNS examination. 31-5-20: studied about Renal failure . 1-6-20: Case discussion on peripheral neuropathy , case related queries             and recording the session . 2-6-20: Studied about peripheral neuropathy and GBS. 3-6-20: Learned topic on