Sreeja bollu

  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 problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. A 65 YEAR OLD MALE TODDY TREE CLIMBER BY OCCUPATION CAME WITH C/O ANURIA SINCE 2 DAYS. History of present illness:-  -Patient was apparently asymptomatic 15yrs back ,then he fell down from toddy tree and had a history of fracture of femur for which surgery was done . - Again 10 yrs back patient fell down due to giddiness . - Patient also diagnosed with hypertension and on regular medication . -Patient has got flexion fixid deformity 7 yrs back and he stopped climbing tress and stays at home . -Patient came with anuria since 2 days and SOB . -No case of palpitation ,chest pain ,syncope attacks . Past history :-  No history

 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 problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. A 65 yrs old male patient agriculture by occupation came to OPD with the complaint of right sided weakness both upper and lower limbs since 3 days . History of present illness:-  -Patient was apparently normal 3 days back . - Patient while doing some work he not able to lift his right hand .  - Patient then after his work ,while he was eating breakfast he was not able to mix the food . -Patient then went to local Rmp and took some injection  and went home with a hope of recovery . -Patient next morning  developed weakness of his right lower limb then he came to our hospital . -No deviation of tongue and angle of mouth ,no