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GM Paraparesis case of 23yr old Elog

                                     N.DURGA MAHADEV                                     8th Semester Roll No. 118 A case of 23yr old paraparesis I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. After going through the patient details as given by our Intern Mam through the following link.. https://vaish7.blogspot.com/2020/05/medicine.html?m=1 A s of coming to the I want to keep the chief complaints in a priority order A 23 yr old male patient has “ complaints ” -  1)weakness of bilateral lower limbs since 5 days 2)when he got up for urination ,s...
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HTN

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 34 YEAR  OLD MALE MASON BY OCCUPATION CAME TO THE OPD WITH  C/O Blurring of vision RE greater than LE since 3 yrs not associated with headache ,nausea , vomiting Patient was apparently assymptomatic 3 yrs back ,while he was doing his work complained of giddiness and fell( black outs)non postural,not associated with nausea, vomitings,vertigo,tinnitus,earfull ness ,he was taken to a local hospital and was diagnosed with HIGH BLOOD PRESSURE  ( used medication , unknown) for over 2  1/2 yrs  C/O slurring of speech since 1 year ( progressive)  C/O body pains since 1 year  H/O giddiness 1 week back taken to local hospital ,was on medication ( unknown)  No C/O chest pain , palpitations, shortness of breath ,pedal edema  K/C/O HTN since 3 yrs (on past atenolol 50mg ,nicardia 10 mg,telma 40 mg) Not a K/C/O DM,ASTHMA, EPILEPSY,TB He is alcoholic (90ml /day)and smoker ( 2 per day)since 10 yrs  No significant family history  Vitals on adm...
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