DANIYA MENAZ ROLL NO 121

  Case History and Clinical Findings CHIEF COMPLAINTS: PATIENT CAME WITH CHIEF COMPLAINTS OF LEFT LOWER LIMB WEAKNESS SINCE YESTERDAY MORNING(10/08/23) C/O LEFT UPPER LIMB WEAKNESS SINCE 25 DAYS C/O DEVIATION OF MOUTH TO RIGHT SIDE SINCE YESTERDAY MORNING(10/08/23) HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC TILL 25 DAYS AGO THEN HE DEVELOPED LEFT UPPER LIMB WEAKNESS WHICH WAS SUDDEN IN ONSET GRADUALLY PROGRESSIVE(FROM DISTAL TO PROXIMAL) FOR WHICH HE USED HERBAL MEDICATION AND HE HAD C/O WEAKNESS OF LEFT LOWER LIMB AND DEVIATION OF MOUTH TO RIGHT SIDE SINCE YESTERDAY MORNING NO C/O HEADACHE SEIZURES VOMITINGS,LOOSE STOOLS, PAIN ABDOMEN FEVER BLURRING OF VISION, DIPLOPIA. H/O LEFT UPPER LIME WEAKNESS 5 YEARS AGO FOR WHICH HE USED HERBAL MEDICATION. HO RTA 4 YRS AGO (RIGHT UPPER LIMB AND LEFT SHOULDER INJURY) H/O PULMONARY TB 3 YRS AGO(ON ATT FOR 6 MONTHS) NOT A K/C/O DM,HTN,CAD, EPILEPSY, ASTHMA. GENERAL EXAMINATION: THE PATIENT IS CONSCIOUS, COHERENT, COOP

 Case History and Clinical Findings C/O RT LOWER LIMBS UPPER LIMBS WEAKNESS SINCE TODAY AFTERNOON C/O DEVIATION OF MOUTH TOWARDS LEFT LOSS OF CONSCIOUNESS SINCE SHOWN PT WAS APPARENTLY ASYMPTOMATIC TILL TODAY THEN HAD DEVELOPED RT UPPER LIMB AND OWER LIMB WEAKNESS WITH C/O DEVIATION OF MOUTH TOWARDS LEFT N/K/C/O DM2 HTN CVA CAD EPILEPSY THYROID DISORDERS H/O CVA 5 YRS BACK OPTHAL REFERRAL WAS DONE I/V/O RIASED ICT AND HTN RETINOPATHY CHANGES IMPRSSION - B/L EYES BROWN CATARACT WITH NO FUNDUS VIEW DUE TO LENTICULAR OPACITY O/E PN ADMISSION - DROWSY INCOHERENT TEMP AFBRILE BP 160/100 MMHG PR - 88 BPM RR - 22 CPM CVS S1 S2 + RS NVBS PA SOFT AND NT CNS POWER RT UL 0/5 LL 0/5 POWER LT UL 3/5 LL 3/5 TONE RT UL INCREASED LL INCREASED TONE LT UL NORMAL LL NORMAL REFLEXES RT B+++ T++ S+ K+++ A++ LT B+++ T++ S+ K+++ A++ ON DISCHARGE DAY: PT IS C/C/C TEMP AFBRILE BP 140/80 MMHG PR - 82 BPM RR - 17 CPM CNS NFND PA SOFT AND NT CVS S1 S2+ RS NVBS Investigation COMPLETE URINE EXAMINATION (CUE) 20-09-

Case History and Clinical Findings A 70 year old male resident of Elugupalli came to casualty with complaints of: History of Fall while bathing 3 days back Difficulty in walking since 3 days Slurred speech since 3 days HOPI: Pt was apparently asymptomatic 3 days back, then he had history of Fall while bathing on 12/10/22 at evening 4pm he was taking bath by sitting on a rock, suddenly he felt giddiness and fell on the ground on his legs with supporting his left hand to a bucket (no injury to head), and later patient was referred to WellCare hospital at Khammam and later he came to our hospital due to economic issues Difficulty in walking and slurred speech since 3 days(after fall) Past history: K/C/O HTN since 12 yrs H/O epilepsy 1 episode 12 yrs back N/K/C/O DM, TB, Asthma, thyroid Personal history  Patient is a retired constable and then worked as a farmer later stopped working from 10 yrs he takes mixed diet. His appetite was normal. Sleep is inadequate from 3 days. Bowel and bladde

 A 50 yr old female brought to medical opd with cheif complaints of slurring of speech since yesterday morning, seizure like activity since yesterday morning Pt was apparently asymptomatic 38 yrs back, then during her second pregnancy , developed an episode of seizures ( tonic seizures ; for 10 mins following which no weakness or slurring of speech. No scanning was done . Post delivery was uneventful Pt has frequent similar episodes of approx 10 / year and on irregular medication l episodes increase in number during emotional distress / abstinence of food intake 8 yrs back, pt had similar episode following which h/o fall, sustained head injury ( for which she had 8-10 stiches ) - scanning done -_? Clot in brain ( lt parietal ), had loss of speech , loss of memory ( regained slowly after a month ), no weakness of woper and lower limbs, no deviation of mouth, no vomiting, loc present for 2 mins , no bladder/bowel incontinence Staryted on medication s ( on unknown medications for 4-5 mont