Medicine log book by Abhigna

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A 40year old male farmer by occupation  was brought to opd with chief complaints of weakness of B/l lower limbs and upper limbs since 4 days  Unable to walk since 2 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4 days back and then  while he was dancing in ganesh nimarjanum  he suddenly fell down due to weakness of B/l lowerlimbs  which was sudden in onset , progressive in nature( initially walked with support, now can't move )   Weakness now progressed to B/ l upper limbs  No h/ o loss in sensations  No h/o headache,giddiness, slurred speech, deviation of mouth or involuntary

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  Date of admission: 19- 09-21 A 90year old male presented to OPD with chief complaint of hemoptysis since 2 days (2 episodes)    History of present illness: - patient was apparently asymptomatic  2 days ago later  he had cough as with blood tinged sputum-small quantity . - H/O similar complaints for the first time 20 yrs back and 10 months back from then on and off for every 6- 8 months  - Not on any medication  History of past illness: 60 yrs back- He had a H/O trauma (accident) to liver ,got admitted in hospital and got operated  40 yrs back- He had H/O trauma to right side of his shoulder and got operat