Wednesday, March 12, 2025

40M With Progressive Ataxic Quadriparesis 7 yrs Telangana PaJR



12-03-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.


[12-03-2025 12.20] PPM 1: OPD now: 

Bedside: 40M with progressive inability to walk due to imbalance and ataxia since 7 years

Had a fracture 2 months back

Shortness of breath 1 week back 

On examination:

Speech: slurred

Cranial nerves: grossly normal 

Cerebellar signs+

Areflexia

Sensory loss but inconsistent in responses 

Bench: Right pleural effusion

CT head: cerebral atrophy





[12-03-2025 12.28] PPM 1: Also appears to have developed a varicella infection since one week.



[12-03-2025 12.33] PPM 1: @PPM3 @PPM4 check out multiple causes and effects above.

[12-03-2025 12.34] PPM 4: 👍






 

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