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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

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