A 40 yrs old female came to hospital with chief complaints of dry cough and weakness in left lowerlimb and upperlimb
Personal history.
Patient was previously a farmer by occupation.
Bowel movement is regular.
Bladder movements regular
Sleep adequate
Diet mixed
No addictions
No burning micturition
Family history.
Father had similar episodes and is a known case of HTN.
PHYSICAL EXAMINATION.
A. General Examination
The patient was conscious coherent cooperatove well oriented to time place and person
He was examined in a well ventilated room with consent taken
No pallor
No icterus
No cyanosis
No clubbing of fingers
No lymphadenopathy
No malnutrition
No clubbing of fingers
No oedema of feet and hands.
VITALS
Temperature: afebrile
Blood pressure: 190/110 mmHg
Respiratory rate : 18/ min
Central Nervous system:
Conscious and coherent
Cranial nervers -normal
Tone Rt Lf
UL N N
LL N N
Power Rt Lt
UL 5/5 3/5
LL 5/5 3/5
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