Dr Kulkarni thesis

  December 23, 2021 40 YR FEMALE WITH QUADREPARESIS  A 40 yr old female came to opd with C/o giddiness and unable to get up on her own when she woke up today morning unable to stand without support swaing to right side on standing  C/o fever since yesterday a/w chills, bodypains  No c/o weakness of limbs,seizures,headache,sensory symptoms  No c/o burning micturation,cough,SOB,vomiting,loose stools  No H/o head trauma  K/c/o DM since 10yrs (diagnosed when pregnant had giddiness and went for checkup) on T.GLUCORYL M1 BD  K/c/o hypothyroidism since 4yrs on T.Thyronorm 25mg OD  O/E:  Pt C/C/C  Mild pallor+  No icterus/cyanosis/clubbing/koilonychia/lymphadenopathy/pedal edema  Temp: 101°F  PR: 98 bpm  BP: 120/80 mmhg  RR: 18/min  SPo2: 98 @ RA  CVS - S1 S2 +  RS - BAE +  P/A - soft, non tender  CNS -  HMF - intact  delay in obeying commands  Cranial nerves - intact  Power RT LT  UL 3/5 1/5 LL 3/5 1/5 Tone normal normal  Reflexes     RT           LT       Biceps   2+           2+     Triceps

  39M WITH ALTERED SENSORIUM AND B/L LOWER LIMB PARAPLEGIA WITH INVOLUNTARY MOVEMENTS OF UPPER LIMBS WITH BED SORES.  November 10, 2021 A 39 Yr old male , electrician by occupation, with no significant medical history since childhood. Chief complaints:- **C/o decreased responsiveness since 2 days **Not eating since 2 days  **Decreased speech since 2 days--completely not talking since today morning. Past illness:- **8 months ago -- c/o low back ache , pain abdomen -- was told to have renal stones , meatal stenosis--underwent urethral dilatation in July 2021. ** August last week , 2021 -- c/o left lower limb weakness, slow gradually progressed to right LL -- B/L Paraplegia -- MRI was done --? Potts spine Used ATT for 15 days and stopped , due to nausea and loss of appetite, patient was bedridden since, then , used unani medication. **H.D was adviced 2 months ago - but didn't get it done due to fear of death ( among relatives deaths on H.D+) ** Since September 2021--Bed sores develope