35 /M with severe MS and CVA .
Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Case presentation: 35yr old male, a lorry driver by occupation came with complaints of involuntary movements of bilateral upper and lower limbs @arount 6AM yesterday. Pt was apparently asymptomatic before the attack and was watching tv .suddenly patient collapsed and had involuntary movements of bilateral upper and lower limbs tonic- clonic type lasting for 15min. Associated with uprolling of eyes and involuntary passage of urine. No h/o frothing, tounge bite, deviation of tounge. Single episode of seizure present according to pts history. Post ictal confusion lasting for about 5hrs. Pt. Came to casuality in comatos