Hall Ticket No: 1601006042 This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE A 50yr old female,farmer by occupation, resident of suryapet came with chief complaints of weakness in left upper and lower limbs since 3 days. History of present illness: Patient was apparently asymptomatic 3 days back ,then she developed dizziness which was sudden in onset .Then she developed weakness in her left upper and lower limbs followed by fall.Weakness was sudden in onset and progressed rapidly to a state where she was unable to move her left lower limb and left u

Hall ticket number:1601006042 This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE  : A 14yr old male who is a student resident of Nalgonda came with chief complaints of - 1) Fever since 8days 2) Cough since 8days 3) Shortness of breath since 8days History of present illness : Patient was apparently asymptomatic 8 days back then  - He developed fever,insidious in onset, continuous,low grade associated with chills and rigor and relieved on medication - History of cough which was insidious in onset ,not associated with expectoration and no aggravated and