CVA With Right hemiparesis with bilateral knee osteoarthritis .
This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. A 76year old male patient who is daily wage labourer by occupation came with complaints of * Right upperlimb and lower limb weakness since 20/05/2022(morning around 8am) *Slurring of speech since 20/05/2022 morning *Deviation of mouth to left since 20/05/2022 afternoon. HOPI: Patient was apparantly assymptomatic 10 years back,later which he developed progressive gradually increasing bilateral knee joint pains,on and off ,for which he used to take injection of painkillers later which pain used to get subsided.Then 3 years back he developed gradual diminision of