sudden appearance of s/o facial palsy of left side since morning C/o fever cough, cold since 3 days vomit yday during spasmodic cough bouts...no projectile vx relatively what r other diagnostic criteria to finalise the disorder

70 yrs old female pt admitted with the history of unconsciousness. . clinical finding? differential diagnosis? how to proceed further?

WHEN DO YOU NEED A HEAD CT BEFORE AN LP? The LP is useful for diagnosing meningitis, subarachnoid hemorrhage, and other auto-immune or inflammatory disorders. However, the LP will obviously not be appropriate for diagnosing a brain mass, a stroke, or a skull fracture. In general, when you are suspecting any of these based on the history and physical, the patient should have appropriate imaging first. Here is a quick mnemonic for patients in whom you should consider a CT before an LP, with the acronym “TAP AS IF”. Trauma Age > 60 Papilledema (or other sign of increased ICP) Altered mental status Seizure Immunocompromised (HIV/AIDS) Focal neurologic deficits such as hemiparesis or new anisocoria, which can be a sign of impending herniation, typically accompanied by severe altered mental status. If the patient has an obvious source of their symptoms on CT, such as a mass, hematoma, fracture, or abscess, then the LP can be deferred if the findings explain the clinical history. If they have signs of midline shift, obstructive hydrocephalus, or cerebral edema, then an LP should be avoided.

3yr.m. in emergency came with seizures and intermittent posturing as in photo. no h/of fever,vomiting, previous such episode. HR 156 rr 26. spo2 90 in air . after Lopez, Lopez, fosphen, fosphen seizures stopped. considering titanic spasm. ca in drip started . reverse questioning relatives said 2 times fall while playing. it was just trivial episode. after 4 hours pt stopped breathing was intubated and was put on ventilation . what do rx next

MAY BE HELPFUL APLASIA CUTIS BABY WITH NO SKIN !! Here is a rare case of a condition called aplasia cutis. Aplasia cutis congenita is a condition in which there is congenital (present from birth) absence of skin, with or without the absence of underlying structures such as bone. It most commonly affects the scalp, but any location of the body can be affected. While most people with aplasia cutis congenita have no other abnormalities some people have congenital malformations involving the cardiovascular (heart), gastrointestinal, genitourinary, and central nervous systems. The cause of this condition is unclear and appears to be multifactorial (many different factors appear to play a role) ; contributing factors may include teratogens, genes, trauma, and compromised blood flow to the skin.