Medicine casestudy

                   50 YR OLD FEMALE 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 upper limb.It was associated with drooping of angle of mouth on left side ,with speech difficulty and there was deviation of mouth to the right side, associated with drooling of saliva. It was not associated with loss of consciousness,loss of memory, seizure activity, behaviour abnormalities, bowel or bladder incontinence or visual disturbances. No H/o fever,nausea,vomiting,headache,chest pain and dyspnea. Past history: No similar complaints in the past . She is a known case of

  This is an online e logbook to discuss our patients de identified health data shared after his guardian informed consent . A 45 yr old male patient resident of Nalgonda, labourer by occupation came with chief complaints :   . Pedal edema since 10 days . Shortness of breath since 10 days .  Decreased urine output since 5 days .   Fever since  5 days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 days ago .then  he developed , - bilateral pedal edema  since 10 days which is insidious in onset , gradually progressive, which is pitting type - shortness of breath since 10 days = insidious in onset , non progressive, aggrevated on walking, excercise, relieved on sitting. - fever since 5 days insidious in onset , intermittent not associated with  chills and rigor, head ache, vomiting fever not associated with chills & rigors. - history burning micturition, oliguria since 5 days - no history of sweating, chest pain  ,hematuria PAST HISTORY:   he had  kidney issues