N ANJAIAH Case History and Clinical Findings C/O WEAKNESS OF LEFT UPPER AND LOWER LIMB , DEVIATION OF MOUTH TO RIGHT SIDE SINCE MORNING SLURRING OF SPEECH PRESENT SINCE MORNING HOPI: PATIENT WAS APPARENTLY ALRIGHT TILL TODATY MORNING ,THEN HE DEVOLOPED WEAKNESS OF LEFT UPPER AND LOWER LIMB,INSIDIOUS IN ONSET ,GRADUALLY PROGRESSIVE ASSOCIATED WITH DEVIATION OF MOUTH TO RIGHT SIDE,SLURRING OF SPEECH PRESENT SINCE MORNING NO H/O TRAUMA HEAD ,NAUSEA ,VOMITING , SCIZURES ,GIDDINESS NO H/O FEVER,COLD ,COUGH NO H/O CHEST PAIN,PALPITATIONS ,PND,ORTHOPNEA,BREATHLESSNESS NO H/O ABDOMINAL PAIN,BURNING MICTURITION , PAST H/O : K/C/O HTN ON T METXL 75MG PO.OD SINCE 3 YRS K/C/O CVA LEFT HEMIPARESIS 10 YRS BACK GENERAL EXAMINATION : PT IS CONCIOUS , COHERENT AND COOPERATIVE , MODERATLY BUILT AND NOURISHED . NO PALLOR, ICTERUS , CYANOSIS, CLUBBING ,LYMPHADENOPATHY, EDEMA TEMP - AFEBRILE PR- 60 BPM RR-19 CPM BP- 130/80 MMHG GRBS -123MG /DL SYSTEMIC EXAMINATION : CVS - S1,S2 HEARD , NO MURMURS RS - VESI...
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