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Showing posts from April, 2022

60 year old male with generalised weakness

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those clinical problems with collective current best evidence based inputs. C/o :  Decreased urinary output Generalised weakness Loss of appetite Twiching movements since evening HOPI :  Pt. was apparently asymptomatic 2 days back and then complained of generalised weakness and decreased urination, loss of appetite, since 2 days. Then he was referred to our hospital and fluids were infused. Since evening weakness worsened and pt developed twiching movements of the left upper limb and was dehydrated. K/C/O DM type 2 since 7 years N/K/C/O HTN, asthma, TB, Epilepsy Vitals :  Pallor is seen  No cyanosis No Lymphadenopathy No icterus No edema  Moderate dehydration Temp - afebrile  Pulse rate -