Dr. H.S. Sudhanva Rao, M.D.D. M.

UDUPI HOSPITAL,
NEUROLOGIST PERIYAKULAM- 625 601
04546-291380 (0.P.), 231338(H)
9842431338 (Cell)

Name MR.CHINAMANI (42y, Male)

Phone: 9943550748 Date : 01-Apr-2023
ID :N 558/23 #Visit : 2

Notes: MRI L.S.Spine - extradural lesion + Disc compressing the neural elements at L4-L5 -
?meningioma
Diagnosis:ACUTE SPASTIC PARAPARESIS FOR EVALUATION
Sys.Exam: CNS: Power : Hip flexor 5/5,extensor5/5, abductor 2/5, adductor 5/5, Knee - flexor
3/5, Extensor - 5/5, Foot - DF- 5/5, PF - 3/5
DTRS- Kneejerk 3+, Ajnkle jerks;
Assessment: Urgent referral to Neurosurgeon for decompression

Medicine Name Dose When Frequency Duration Qty

TAB, DGLO 65O 1 - 1 After Focd Daily 5 Days 10

TAB. PREGALIFT ER 75MG 0 0 -1 |After Food Daily 5 Days 5

syorgKA

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