Anjali Vishwas

50 years old female a diabetic and hypertensive since past 12 years and is on tab Glimipride 2mg and metformin 500 mg twice daily and tablet telmisartan 40mg + cilindipine 10mg + hydrochlorthiazide 6.25 mg once daily presented to our casuality with Complaints of loss of speech since yesterday morning and according to the attenders patient has hearing difficulty also since many years ( they could not recollect the exact time) Patient was apparently asymptomatic till morning . she went to a diagnostic center in the morning to give her fasting blood sample after which she came home, and had a nap after she woke up she was unable to talk, she went to shower after that , attenders have observed she couldn’t drape her saree and had weakness in right upper limb and lower limb with deviation of mouth to left .  She was taken to a near by consultant where her BP was 190/90 mmhg and GRB 370 mg/dL They have given medication for her hypertension , and advised for MRI Brain and was referred to our

 Patient came with the complain of unable to speak and altered sensorium since three days patient was apparently a symptomatic three days backThen developed sudden onset of loss of speech and unable and altered sensoriumIt was observed by the attenderPatient apparently went to nearby diagnostic Centre to give give her a blood sample for sugar after coming back to home she had a sleep for two hours after which she was unable to speak and attender noticed acted sensorium and could not draped sari weakness of left arm and left lower limb was observed by the attender she was taken to nearby consultant where her BP was 190/90 DRBS3 300 for which she is given medication and suggested for MRI she is a known case of diabetes and hypertension for which she is using medication regularly general examination patient is conscious non-coherent noncooperative Vitals BP 1 3080 pulse rate 72 respiratory 16 cycles per minute respiratory system S1 S2 heard no murmurs of cardiovascular system S1 S2 heard

 Unit5: admission on date 12/2/21  Dr. Praveen naik ( associate professor)  Dr.natasha mam (pg Y3) Dr.zain alam (pg Y2)  Dr. Shashi kala (pg Y1) Dr. Shailesh patil(pg Y1)  Interns  Shriya reddy  Anjali Vishwas  Mourya 33 old female C/o tingling sensation of left lower limb associated with numbness since 3 days.  C/o involuntary movements of b/l upper limbs and lower limbs since 3 days.  C/o headache since 3 days  H/o fever 20 days back.  HOPI- patient was apparently asymptomatic 20 days back then developed fever which was gradual in onset associated with chills and rigor  Present throughout the day subsided on taking medication from near by RMP.  H/o involuntary movements of b/l upper and lower limbs (gtcs type) associated with frothing, uprolling of eyes. Post ictal confusion not associated with tongue bite, involuntary defecation/micturition lasting for 2 -3 mins ,aura+ H/o squeezing type of pain abdomen H/o headache 3 days back diffuse type not associated with nausea, vomitings, dim

  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 without th 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.       Unit 5 : Case admission date :05/02/2021 Dr. Natasha mam( PG Y3)  Dr. Zain Alam( PG Y2)  Dr. Sashi kala ( PG Y1)  Dr. Shailesh Patil( PG Y1)  Sridevi ( Intern)  Anjali Vishwas (Intern) Shriya Reddy (Intern) Mourya (Intern) A 21 year old female, presented to casualty with involuntary movement s of both upper and lower limbs since 5  pm today, 5 episodes, each episode lasting for 2- 3 minutes, GTCS pattern, associated with uprolling of eyes present, not ass

 Unit 5 : case admissionon date :5/2/2021 Dr. Natasha mam( Pg Y3)  Dr. Zain alam Pg Y2)  Dr. Sashi kala ( Pg Y1) Dr. Shailesh Patil( Pg Y1)  Sridevi ( Intern)  Anjali Vishwas (intern) Shriya reddy(intern) Mourya(intern) A 21 year old female, presented to casualty with            involuntary movement s of both upper and lower limbs since 5  pm today, 5 episodes, each episode lasting for 2- 3 minutes, GTCS pattern, associated with uprolling of eyes present, not associated with tongue bite,    involuntary micturition, defecation, post ictal  confusion, drowsiness, confusion C/0 headache, since yesterday, which is sudden in onset, gradually progressive, throbbing type of pain, not associated with nausea, vomitings, diminished vision. No c/0 fever, shortness of breath, palpitations,          giddiness, chest pain, pedal edema, burning micturition Not a known complainpast history of HTN, DM,  Epilepsy,asthma, Thyroid abnormalities, cVs and cns  abnormalities No similar complaints in the past