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26 Y/M WITH HTN AND FOCAL SEIZURES UNDER EVALUATION

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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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: CASE HISTORY: A 26 YEAR OLD MALE ,PLANT NURSERY WORKER BY OCCUPATION, CAME TO THE HOSPITAL WITH COMPLAINTS OF INVOLUNTARY TWITCHING MOVEMENTS OF LEFT UPPER LIMB YESTERDAY NIGHT. PT WAS APPARENTLY ASYMPTOMATIC ONE MONTH BACK,THEN ONE DAY WHILE LISTENING SONGS,HE SUDDENLY DEVELOPED TINGLING SENSATION IN LEFT UPPER LIMB ,FOLLOWED BY TWITCHING OF LEFT UPPER LIMB LASTING FOR 1 TO 3 MINUTES ASSOCIATED WITH DEVIATION OF MOUTH TO LEFT AND SLURRING OF...

A 58 year old man with unexplanied dementia, slurring of speech and urinary incontinence since 6 months and forgetfulness since 3 months

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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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: Case history A 58 year old man,saree maker by occupation was brought to the hospital with h/o Slurring of speech since 6 months , associated with drooling of saliva from left angle of mouth, food particles and water predominantly from left angle of mouth and smacking of lips Urinary incontinence since 6 months, dribbling of urine while rushing to bathroom. Forgetfulness since 3 months, able to remember his name and close relatives. Patient of...