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Showing posts from November, 2023

47F with generalised weakness and pain in left upperlimb and shoulder.

1 This is online e log book to discuss our patient's de- identified health data shared after taking his 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 aim to solve those patients clinical problems with collective current best evidence based inputs.  Bunni Sadhguna  Roll no. 25 Pt came with chief complaints of generalised weakness and pain in left upperlimb and shoulder since 25 days. HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 25 days back ,then she developed weakness, with dragging pain and tingling sensation in left upperlimb and shoulder,which was sudden in onset, gradually progressive and is associated with breathlessness Aggravating while working.  PAST HISTORY: K/c/o hypertension since 1 month,on medication ( telma 40 mg),thyroid since 10 yrs and asthma since 20 yrs. H/O trauma in right lowerlimb 6 yrs back, followed by pain in