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Showing posts from March, 2021

23 year old with weakness

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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 the case i seen  A 23year old man who is a student doing his degree 3rd year came to the hospital at night with cheif complaints of weakness in left sided upper and lower limbs since that day evening which is associated with deviation of mouth to right and involuntary movements of right lower limb. He was apparently asymptomatic 11months back . Since then he has 4 episodes of left sided weakness as follows:- Episode 1:- He felt tingling sensation in his left u