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55 year old male with tingling in all limbs

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55 YEAR OLD MALE WITH TINGLING IN ALL LIMBS July 04, 2023  A55 year old male presented to the casualty with chief complaints of: Tingling and numbness in all limbs since 3 days One episode of altered sensorium History of Presenting Illness: The patient initially started drinking 15 years ago when he was 40, due to peer pressure as all his friends in farming would drink too. Initially, he would only drink once every couple of days. However, as the years went on, he started drinking more frequently. Once his son met with an accident and broke his arm 6 years ago, the patient's drinking increased. He would drink around 90ml whiskey daily for months at a time. Then would try to stop altogether, during which time he would develop tremors for the first few days. He would be fully sober for months at a time following which he would start again.  Started drinking heavily 10 days ago due to his tractor's back getting damaged due to misplacement of goods. He had recently bought that trac
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50 year old female with left lower limb cellulitis with AKI,DM 2,HTN

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50 year old female with left lower limb cellulitis with AKI, DM 2, HTN. July 01, 2023   Introduction : This is an online E-log Entry Blog to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs.  Note : The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent : An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references.  CASE  :  A 50 year old female came to GS OPD on 28-06-23 with complaints of  swelling in left leg and foot since 1 week. HOPI  :  * The patient was apparently asymptomatic 1 week ago, then she developed swelling in the left leg which was insidious in onset. It was ass
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A 55 year old male with tingling sensation and weakness of Rt upper and lower limbs

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A 55Y M with tingling sensation and weakness of Rt upper and lower limbs July/1/23 A 55 year old male patient who is a resident of Tirumalagiri came with  CHIEF COMPLAINTS- 1. Tingling sensation in Rt upper and lower limbs since yesterday  2. Weakness in the Rt upper and lower limbs since yesterday  HISTORY OF PRESENTING ILLNESS- Pt was apparently asymptomatic before yesterday afternoon then he developed weakness of Rt upper and lower limbs which is insidious in onse, gradually progressive Weakness is associated with tingling sensation   No c/o deviation of mouth , loss of consciousness, headache, giddiness, vomitings, Pain   No H/o involuntary passage of urine or stools  No H/o fever , loose stools , sob , pain abdomen   Slipping of chappals present while walking  Decreased hearing in both the ears since 10 years  DAILY ROUTINE-  PAST HISTORY-  Pt is a k/c/o HTN since 4-5 months,  used medication for 2 months then stopped ( unknown medication)  Not a k/c/o DM , TB , EPILEPSY, CVA , CA
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