This is an online E Log book recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent.

Hi, I Aswin.I  6th sem medical student. This is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning protofolia

A 65 years old Male brought to hospital (Casualty) with
 
Cheif complaints
* Right upper limb and lower limb weakness
*Pain in neck

History of presenting illness
Patient was apparently asymptomatic till yesterday.Then he fall down over the floor on face(event occur around 5.30pm near miryaluguda and complaints of pain in neck (from 6.00pm on 10/10/23) sudden in onset and its not radiating and tenderness present on back of neck.
Unable to move his right upper limb and lower limb.
No micturition since fall
•No history of nausea, vomiting,nose bleed,ear bleed
•No history of fever

Past history
Not a known case of 
    Hypertension
    Diabetes
    Asthma
    Tuberculosis
    Epilepsy
    H/o trauma (RTA) 10yrs back

Personal history
    Appetite normal
    Mixed diet
    Regular bowel movements
    Sleep adequate 
    No smoking
    Occasional drinker
    
General examination
Patient was conscious coherent and we'll oriented to time place and person.
•No pallor 
•No icterus
•No cyanosis
•No clubbing of fingers
•No pedal edema
•No lymphadenopathy 


Vitals
•Blood pressure = 130/90 mmhg
•Pulse rate =  71 beats/min
•Temperature =  Afebrile (normal)
•Respiratory rate =  16cycles/min.

Systemic examination.
Cardiovascular system 
S1S2(+), no thrills, no murmurs 
Respiratory system
No dyspnoea
No wheeze
Position of trachea central 
Breath sounds :vesicular 
No crepitations
Abdomen
Shape of abdomen: scaphoid 
No tenderness 
No palpable masses
Liver not palpable 
Spleen not palpable
Bowel sounds (+) 
Central nervous system 
Conscious 
Speech is normal
Sensory system :normal
Motor system: 
             Left.                     Right
          Power 5/5.          Power 1/5
         Tone good.         Tone decreased 
Pupils: Bilateral normal and reactive to light

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