70M with Left UMN Facial Palsy
Parvathalu Chief Complaints: c/o of slurring of speech and deviation of mouth to the right side since yesterday morning. HOPI: Patient was apparently asymptomatic 10 years back after which he had a history of a thorn prick to the left middle finger which formed a swelling filled with pus. - Patient was diagnosed to have diabetes mellitus, after which his left middle finger was amputated. Since then, the patient is on regular diabetic medication. -H/O of burning sensation and tingling in both lower limbs since 1 year - Patient is having slurring of speech and deviation of mouth to the right side since yesterday morning - No H/O weakness of limbs, seizures, trauma, headache/nausea, or fever. Past history: -K/C/O DM type 2 since the last 10 years (on regular medication, Glimi M1) Personal History: Diet: Mixed Appetite: Normal Bowel and Bladder Movements: Normal Smoking: Regular smoker since 40 years - 40 pack years Alcohol: Regular Drinker since 35 years. GENERAL EXAMINATION: P...