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60 year old woman with Right sided Hemiparesis

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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 is welcome. Here is a case I've seen: A 60 year old woman was brought to the hospital by her daughter 1 day back with the chief complaint of sudden onset weakness of upper & lower limbs since 2 days. History of present illness: The patient was apparently asymptomatic 2 days back,then developed  sudden onset weakness of limbs( Rt > Lt )followed by tingling sensation and numbness of lower limbs,which progressed to upperlimbs, non progressive,lasted for 2-3 hrs, then reco...

75 year old woman with Renal pathology since 5 yrs, gluteal abscess -6 yrs ago with recent GE & Oliguria

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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 is welcome. Here is a case I've seen: A 75 year old female who's a farmer by occupation, a resident of a village nearby, presented to the hospital 5 days back with chief complaints of decreased urine output a/w burning micturition since 15 days and  SOB since 7 days. HOPI The patient was apparently asymptomatic 15 days back,then she noticed decrease in her urine output a/w burning micturition. 10 days back, she had epigastric pain a/w Vomitings(2-3 episodes/day,  nonbilio...