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20100006009 CASE PRESENTATION

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LONG  CASE  30 /F,homemaker,unmarried, hailing from chityal, who completed her bsc botany came with  COMPLAINTS :-  Lethargy-----> since 6 months HISTORY OF PRESENT ILLNESS : - Patient was apparently asymptomatic 6 months back then she had insidious onset of lethargy,  easy  fatiguability  on doing daily chores like cooking, cleaning the house. No history of any  fever, cough,Loss of appetitie,weight loss,chest pain, palpitations,pedal edema No menstural abnormalities PAST HISTORY :- At her 17years of age(in year 2010), One afternoon while bathing, she suddenly developed weakness  of right upper limb  and lower limb, along with deviation of mouth to left side  upon which she made  sounds , her   mother who was nearby came to her aid ,and she was taken to hospital in nalgonda  within an  hour,and referred to gandhi hospital where she was admitted for 1month,during which her...