This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/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 an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. A 60 year old male patient, agriculture worker by profession, residents of Miryalguda, came to the OPD with chief complaints of: Chief Complaints: Loss of Power in left upper limb since 1 month Loss of power in left lower limb since 4 days Deviation of mouth towards right side since 4 days History of Presenting Illness: Patient was apparently asymptomatic 1 month ago, then he developed loss of power in left upper limb, sudden in onset, gradually progressive from dista...
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