A 65Y/M with altered sensorium secondary to neurodegerative disease ?Dementia (Alzheimers)

 This is a very interesting case of a patient who presented to the casuality with a GCS score of E2V(tracheostomy)M2 and 



patient was unconscious , came with history of 2 episodes vomitings since the morning of 12-04-2024 , containing food material , non-projectile , non-bilious , non blood stained 

reflexes          right   left 

biceps              +2       -

triceps             +2        +1

supinator        +1         -

knee                  -           -

ankle               +1          +1

plantar             E            E

Tone : Right UL & LL : hypertonia 

            Left UL & LL : hypotonia

Respiratory system 

-decreased breath sounds present 

- b/l ae+

History of presenting illness 


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