57 yr old male with cervical and lumbar spondylosis and acute ishaemic stroke and with respiratory distress
57 yr old male with cervical and lumbar spondylosis and acute ishaemic stroke and with respiratory distress on June 15, 2023 NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 57 yr old male resident of Nalgonda security guard in a bank in Nalgonda came with chief complaints of fever since 1month and altered sensorium 1 month back and shortness of breath since 6days HISTORY OF PRESENT ILLNESS : He is apparently asymptomatic before 5yrs then he developed neck pain and backache which are insidious in onset gradually progressive dragging type associated with muscle spasms and clicking, popping sensation in the neck and shock like pain on the back and not a