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quadriparesis

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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 . A 34 year old male patient who is resident of Nalgonda and farmer by occupation came in the casualty with chief complaints of weakness of both lower limbs and partial weakness of upper limbs since 4 days.  Patient was apparently asymptomatic 4 days back while he was dancing in Ganesh nimarjanum. Patient suddenly fell on the floor due to loss of power in B/L lower limbs which was sudden in onset. He got up with the help of people around him. He has done his routine afte

Patient with cough and SOB

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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. CASE : A 30 year old female came in to the casualty with chief complaints of cough since 20 days and sob since 3-4 days. Patient is apparently asymptomatic 20 days back when she developed cough which is insidious in origin and is intermittent and is associated with expectoration which is whitish in colour and scanty in amount. It associated with right sided chest pain which is sharp pricking type of pain and increased on inspiration.  It is also associated with fever 20