This is an online e logbook to discuss our patients de-identified health data shared after taking his/her/their guardian's signed informed consent. Here we discuss our individual patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. Date of admission- 23/09/2021 A 85 year-old man, who is a farm worker by occupation, presented to the hospital with - Weakness of left upperlimb and lowerlimb since 20 days -Difficulty in swallowing since 20days  -Deviation of mouth towards left side since 20 days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back, he had sudden onset of weakness of left upper limb and lower limb which was noticed by his attender, when he tried waking up from bed he couldnt get up and complained of weakness and was went to a near by RMP and was sent to our hospital for further management.  No h/o trauma, n

This is an online e logbook to discuss our patients de-identified health data shared after taking his/her/their guardian's signed informed consent. Here we discuss our individual patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. Date of admission- 16/08/2021 A 70-year-old man, who is a farm worker by occupation, presented to the hospital with - Pain in the epigastric region since 4 days - Constipation since 4 days - Burning micturition since 10 days  - Decreased urine output since 10 days  - Shortness of breath and swelling in feet since 1 month - Backpain and fever since 2 months HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 4 years ago and then developed cough, fever, swelling in the legs for which he visited a local hospital where he was diagnosed with Chronic Renal Failure - Referred to current hospital for treatmen