Manish Kumar 129

 41year old male patient came to causality with c/o of tingling sensation of the right UL and right LL since 2days

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 patients 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 comment box is welcome

41year old male patient came to casuality with chief compliant of tingling sensation of the right upper limb and right lower limb since 2days ,c/o weakness of the right upper limb and right lower limb since 2days.

History of present illness:-

Patient was apparently asymptomatic 2days back then he developed tingling sensation of the right upper limb and right lower limb since 2days & history of decrease in strength, weakness of the right upper limb and right lower limb,No History of headache, vomitings etc.No history of sudden blurring of vision etc.

Past History:-k/c/o Hypertension since 3days & started on Tab.CINOD 10mg PO/OD 

O/E 

Ptwas c/c/c

No pallor, icterus ,cyanosis,clubbing lymphadenopathy ,oedema

Temp:-afebrile

PR-98bpm

RR-22cpm

Bp-170/90mmhg

Spo2-98%

Grbs-141mg

CVS-s1s2 heard,no murmurs

Rs- BAE+,NVBS+

/PA- soft, non tender

CNS-

consciousness

                    Rt Lt

Tone UL reduced normal

           LL reduced normal

Power UL 5/5 5/5

           LL 5/5 5/5

Reflexes B ++ ++

                T ++ ++

                S ++ ++

                 K ++ ++

                A ++ ++

                P W E

Investigation:-

2D ECHO

USG abd