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37M with B/L Lower limb weakness

 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 37 year old male patient farmer by occupation, resident of bardipur, Nizamabad presented with chief complaints of  loose stools since 3-4 days nausea and vomiting's since 3 days  both lower limb pain and weakness since 2 days difficulty in walking since 1 day. Patient was apparently normal 4 days back then he developed loose stools 3-4 episodes, watery consistency, associated with nausea and vomiting's with food particles as contents. since 2 days patient had both lower limb...

Chat GPT vs Gemini interpretation of peripheral smear.

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  Here is the deidentified case report of 58F with Multiple myeloma S/P Autologus bone marrow transplant.  Following smears are done due to severe thrombocytopenia.  OBSERVER VS CHATGPT Prompt to Chat : pretend like an expert hematoncopathologist analyse this slides of 58F with multiple myeloma S/P Autologus bone marrow transplantation. Give your inputs and analysis .  Chat gpt response :  Based on the provided images, here is a detailed analysis of the peripheral smear findings: Background Information • Patient: 58F with a known diagnosis of multiple myeloma. • History: Post autologous bone marrow transplantation (ABMT). Peripheral Smear Findings 1. RBC Morphology: • Normocytic Normochromic Population: Predominantly normal-sized red blood cells with appropriate central pallor, which is consistent with a recovered or stable hematopoietic function. • Occasional Poikilocytosis: Seen as irregular shapes, possibly due to post-transplant recove...