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Case 50 - 65 year old female patient with altered sensorium

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 65 year old female patient brought to casuality with Cc : involuntary movements of B/L upper and lower limbs from 5pm (i.e5/10/22). And altered sensorium(post ictal confusion) from 5pm History of present illn
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Case 41 - ALTERED SENSORIUM SECONDARY TO RECURRENT HYPOGLYCEMIA (RESOLVED) WITH VIRAL MENINGO ENCEPHALITIS (RESOLVED) WITH K/C/O DM-2 WITH CHOLILITHIASIS WITH LEFT CORTICAL CYST

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A 70yr old female with involuntary movements in upper and lower limb MEDICINE E LOG BOOK “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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” CHIEF COMPLAINT Patient came to casualtiy with altered sensorium with involuntary movement in Right upper limb since 12:00 am, c/o loss of speech and no  movement  in left upper limb and lower limb after 12:00 am pt had h/o 3 episodes of involuntary micturition since  5 days , c/o one episode of fever  2 days back which was relieved on medication . On the way to the hospital PT grbs was found to be 15 mg/dl and a
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