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.
[4.19 pm, 07/03/2026] PPM 1: History shared by @PPM3 on 24/2/26
24 years old male pt
2nd child of non consanguious marriage spontaneous conception
with normal vaginal delivery
with nill peri natal events
had fever at 1 year of age for that they went to local hospital and treated with intravenous injections/ fluids to Right upper arm
after that rt upper limb developed weakness which is insidious in onset gradually progressive (some local dr told it as polio)
initially he able to do some work with it like eating food combing till the age of 10 yrs.
At the age of 10 yrs he had generalised tonic clonic seizures with uprolling of eyeballs deviation of mouth
frothing from mouth and irrelevant talk.
seizures lasting for 5 to 10 mins resolves spontaneously
pt is advised Valproate 300 mg once daily
pt is continuously having seizures with that once in 2 to 3 days
last episode last night.
[4.22 pm, 07/03/2026] PPM 1: He signed the consent form with his left hand
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