Casepresenting

This is an online E log book 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' 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. A 50 year old male came to opd with chief complaints of weakness in right and left lower limbs and slurring of speech since 2days. Past history -  K/C/O - Diabetes mellitus (since 12years) Patient is using insulin two times per day. 15U before breakfast and 10U in the evening. 4 years ago, He was hospitalized for 10days due to low blood sugar levels and treated. He had a history of fall 1 year ago and 4 months back he was having right hip pain which is insidious on onset,aggregated on movement and relieved on medication/rest. One month ago, an episode of haematuria for 5 days but patient di