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35F with altered sensorium

A 35yr old female presented with complaints of vomitings 3 episodes 6 days back followed by altered sensorium . no h/o trauma no involuntary movements no h/o deviation of mouth no h/o fever,cough,chest pain,tremors,orthopnea,pnd no h/o use of anticoagulants,oral contraceptive pills past history: h/o intermittent headache. known case of tb 4yrs back ,took ATT for 6 months. no h/o HTN,DM,CVA,CAD,SIZURES. surgical history negative. General examination: Pallor present Icterus negative No cyanosis clubbing lymphademopathy,Edema. Mild dehydration and malnutrition present .Doll's eye postive Bp 100/60 mmhg Pr 110 bpm spo2 96% temp 102F RR 20cpm Grbs 119 gm/dl Cvs s1 s2 hears no murmurs Rs bae + nvbs hears P/a soft ,nontender,bowels sound heard, Cns HMF- patient unconscious stuporous speech- no response MMSE- not elicited cranial nerves-1st not elicited 2nd not elicited rt lf 3rd,4th,6th pupil size. ...
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Neurology

  Virtual case bank Neurology  Quadriparesis: Presented by Dr Sreeram 2015 MBBS batch  45 year old diabetic with acute quadriparesis and dysphagia and squint  http://sreeramsripadi.blogspot.com/2020/08/history.html Hemiparesis  65 year old woman with transient hemiparesis and hypoglycemia  https://shivanibhashyam.blogspot.com/2020/08/65-year-old-woman-with-recurrent.html 40 year old man, farmer by occupation presented to the opd with the complains of  Bilateral pedal edema since 20 days  Dyspnea on exertion since 18 days Tingling and numbness in lower limbs  since 1 week followed by tingling and numbness in his left forearm which he developed over the next 5 days Dr Vineela Spandana 2015 intern  https://vineelashambhavi.blogspot.com/2020/08/40year-old-with-aidp.html?m=1 Paraparesis  Presented by Dr Anugna 2015 batch 18YEAR OLD MAN CAME TO OPD WITH CHIEF COMPLAINT OF WEAKNESS OF B/L LOWERLIMBS SINCE 20 DAYS https://hitesh116.blo...
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