What are the investigations to be done and probable diagnosis ?
58yr Female with denovo T2DM presented with non rhythmic, involuntary movements of right lower limb since 2 days which was insidious onset and gradually progressive. She also had past history of fever with myalgias 5 days ago. Sleep- disturbed, Unable to stand or sit. Clinical finding revealed an eschar in lower quadrant of right breast. What are the Investigations to be done and probable diagnosis?
Chreoathetosis Rt leg . Suggest MRI brain to exclude structural lesion left basal ganglionic area
1. Choreoathetosis - rule out rheumatic carditis in past , mri brain for any structural lesion 2. Atypical Neurological manifestation of scrub typhus . Send IgM scrub typhus
Cases that would interest you
- Login to View the image
Dr. Sudhir Mehta sends you a special video invite for a CME event on the topic "Plastic surgery update" to be held in Ambala city on 13th February. Let's hear him out.
Curofy Cme186 Likes117 Answers - Login to View the image
List the abnormalities? What are the Radiological signs you have picked up?
Dr. Priya Reddy37 Likes22 Answers - Login to View the image
35/Male with History of fever since 3 weeks Treated Opd with Azitromycin and Dolo Patient had continuous Temperature for which admitted Blood Investigation was send WHC: 12300, RFT: Normal , K: 3.2 , Na: 127 RMT: Negative, Dengue : Negative Urine Routine Puscells :25 . Patient Developed Severe Tremours Since 2 Days. Non Alcoholic and Smoker He is on Ciplox, Merogyl, Dolo, Pan, Emeset , K Correction done. Attached Video Kindly Guide me .
Dr. Delvin Blesso2 Likes13 Answers - Login to View the image
A 2-year-old female presented with moderate to high-grade intermittent fever for 6 days, associated with. Rashes were present over the entire body excluding palms and soles. The rash first appeared on the face within 12 hrs of the onset of fever later spreading to trunks and limbs. After 7-10 days there were central clearing in the rash giving a lacy or reticular appearance. What can be the problem associated with it?
Dr. Rajesh Kumar4 Likes12 Answers - Login to View the image
spot the diagnosis
Dr. Ramesh Patel23 Likes27 Answers
2 Likes