General medicine case discussion

  "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 patients 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 comment box is welcome Patient came with cheif complaints of decreased urine output since 1 week and complete stoppage since yesterday and bilateral lower limb swelling and cough with sputum. Patient was apparently asymptomatic 1 week back and then he developed decreased urine output since 2 days and no urine output since 2 days and shortness of breath since 3days and pedal edema since 1 week.  Past history:-Patient had H/o of CKD since 2 year and H/o 3 dialysis sessions done in 2020 followed by

  28/M WITH INABILITY TO WALK,WEAKNESS OF LEFT UL,LL "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" PATIENT CAME WITH C/O LEFT UPPER LIMB, LOWER LIMB WEAKNESS SINCE 2 DAYS. SLURRING OF SPEECH SINCE 1 DAY. HOPI:- PATINET WAS APPARENTLY ASYMPTOMATIC 2 DAYS BACK THEN, WHILE DRIVING CAR HE HAD SUDDEN ONSET WEAKNESS OF LEFT UPPER AND LOWER LIMBS WITH SLURRING OF SPEECH. NO H/O INVOLUNTARY MOVEMENTS OF UL & LL, INVOLUNTARY MICTURITION, DEFECATION.NO H/O LOSS OF CONSCIOUSNESS. 8 YEARS BACK,PATIENT HAD 3 EPISODES OF GTCS FOR WH

This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. PRANATI KROTHAPALLI ROLL NO. 168 January 10th, 2021 Case: 18 year old female, house maker by occupation, resident of Masanpally, was brought to the OPD with chief complaints of  Bilateral lower limb weakness since 1 day.  Fever since 1 day  History of presenting illness  :  Pateint was apparently asymptomatic till September,2021. In August 2021, she delivered a baby boy. Since then she has been having gradual weakness in both her upper and lower limbs. 2 months back, patient experienced an episode of bilateral weakness in upper and lower limbs, that the patient couldn't get up from the bed as soon