A 55 year old male came with C/O weakness of both upper and lower limb and vomiting since morning

February 19, 2023

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Name:Manvitha (intern)

A 55 year old male patient came to causality with

chief complaint of

weakness of left upper limbs and lower limbs(since morning )

Episodes of vomitings present

HISTORY OF PRESENT ILLNESS

Patient was apparently asymptomatic till morning then he had h/o fall during defecation and developed weakness of left upper and lower limbs there is no HIo loss of consciousness ,

slurring of speech present

uprolling of eyes Eyes present , no Tongue bite , involuntary defection present , no involuntary micturition ,

history of fever 3 days back - low grade, intermittent, relieved on medication

Not associated with cough, cold, SOB, burning micturition,

Vomiting - 2 episodes, projectile, non bilious , contain food and particles, burning micturition present , b/L pedal edema present pitting below knees present

Past history

K/C/O Hypertension since 15 days on T telmisatan , and diabetes since 20 years on tab Metformin 500mg + GLIMIPRIDE 80mg

Personal history

Occupation : vender

Appetite normal

Diet non vegetarian

Bowel and bladder movements regular

Micturition normal

Habits : alcohol occasional

Family history insignificant

General examination

Patient is conscious, cohorent , cooperative