Gnana prasanna

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' 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.  A 52 yr male came with chief complaints of reddish erythematous plaque over both lower limbs with itching and dryness over them since 2 and half years  HOPI: Pt was apparently normal two and half years back ,then starting suffering from reddish erythematous plaque overboth lower limbs with itching and dryness over them ,he took medication for above complaints but there was no satisfactory relief, so he came to our hospital for further treatment  PAST HISTORY: K/C/o HTN since 8 years and is on regular medication ( TELMA 40) Not a k/c/o DM,EPILEPSY,ASTHMA,TB,CAD,CVA PERSONAL HISTORY: Diet -Mixed Appet

 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' 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. A 55 Yr old female ,housewife, resident of Guntur (macharla) informant being daughter presented with chief complaints of  - Weakness of Upper limb since 1 day (afternoon) -Weakness of right Lower limb  since 1 day -Inability to speak since night -Confusion at the time of admission  HOPI: Patient was apparently normal 2 days back later on, primarily she developed giddiness in the morning which later resolved on next day by medication prescribed by RMP ( CINARIZINE ) On examination by RMP ,he also found that  her sBP  was around 280 mmhg and gave antihypertensive ( TELMISARTAN ) On the next day,while