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Showing posts from December, 2022

70 year old female with altered sensorium

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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 patient's clinical problems with collective current best evidence based inputs. CASE PRESENTATION: Patient came to casualty with chief complaints of  Involuntary movements of B/L upper limbs and lower limbs since 1 day Altered sensorium since 1 day HOPI: Pt was apparently asymptomatic 5 days ago and then she developed fever which is of high grade associated with chills and rigors and was diagnosed to have dengue and was treated for the same in a private hospital.Pt count 30k-35k-40k. Pt also had involuntary movements of B/L upper limbs and lower limbs.Pt is agitated and decreased talking since morning  No h/o tongue bite/uprolling of eye balls No h/o Vomiting/involuntary mictur