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A 65 year old male with weakness of left upper and lower limb

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A 65 year old male with weakness of left upper and lower limb   A 65 year old male who is a farmer by occasional came with complaints of weakness of left lower limb and left upper limb since yesterday and slurring Of speech since yesterday  Tingling sensation of right upper limb and generalised weakness 20 days back HISTORY OF PRESENTING ILLNESS- Patient was apparently alright till 20 days back when he had c/o tingling sensation in right upper limb which gradually progressed f/b he developed generalised weakness for which he was taken to hospital and MRI was done which showed acute lacunar infarct and chronic lacunar infarcts and was treated conservatively. Since yesterday morning he has c/o tingling sensation of left upper limb and lower limb f/b he developed weakness of left side upper and lower limbs a/w slurring of speech. PAST HISTORY- H/o CVA (right hemiparesis) 6 years back  H/o hypertension since 6 years on tab telmisartan 40mg + amlodipine 5mg H/o dm since 5 yrs on Tab.Metform
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45 yr old female patient with complaints of vomiting since 10 days and H/o renal stones

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  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 45 year old female patient came OPD with  Chief complaints:  Nausea & Vomiting since 10 days . HOPI:  Pt was apparently asymtomatic 10 days ago and then developed nausea and vomiting.  Associated with d
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75 year old with right hemiparesis and slurring of speech

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  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. This is a case of a 75 year old lady who presented with weakness of right upper and lower limbs and slurring of speech since one day HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic until
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