A case of ARAC HAMIPRASIS +HTN

- A male patient age about 60 years old -A case left hamiprasis +HTN -C/O left hamiprasis slurred speech and HTN C/O Tingling and numbness of upper and lower limbs since today morning 4:30 am -H/O HTN. HBS AG positive. thyroid -Not know DM. COPD epilepsy IBS No C/O fever cold cough -No abdominal distension No any types of injury and wounds on the patient body O/E Patient Drowsy Dullness Disability PR:90 TM BP:190/110mmhg Temp:Normal SPO2:96% Respiratory:40 min S1S2 abnormal GSC E. 2 V. 3 M. 4 Motor +2 Aphasia agnest gravity

1 year old child presented with h/o abdominal distension, right upper quadrant mass, intermittent abdominal pain along with vomitting and constipation. CECT if child is represented below.

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