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50/ f present with tingling numbness sensation all over body, throat pain followed with swallowing problem Chief Complaints 50/ f present with tingling numbness sensation all over body, throat pain followed with difficulty in swallowing since 4 am ( gradual onset) History No previous history Vitals Bp- 180/90 temp- normal P-100 b/mina Physical Examination See video

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case acute presentation slowly progressive since 4 am key points- 1) acute dysphagia 2) acute ophthalmoloplgia 3) Paraesthesia all over body over period after 10 she developed breathing discomfort diagnosis-snake bite neurotoxic treated with1) ASV intravenous 2) airway ventilation- on artificial ventilation 3) general supportive treatment Extubated on 3 rd day discharge on 4 th day

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Tingling sensation with dysphagia indicates neurological disorder.kindly adv vit B12 folic acid levels,s calcium level, HBA1C.adv barium swallow to r/o esophageal stricture.r/o Chagas ds

Sir only few hrs history
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case acute presentation slowly progressive since 4 am key points- 1) acute dysphagia 2) acute ophthalmoloplgia 3) Paraesthesia all over body over period after 10 she developed breathing discomfort diagnosis-snake bite neurotoxic treated with1) ASV intravenous 2) airway ventilation- on artificial ventilation 3) general supportive treatment Extubated on 3 rd day discharge on 4 th day

THIS IS DUE TO A HYPOTHYROIDISM INCREASES . INVESTIGATION - ADVICE FOR CHEST HRCT ? AND ALSO CHEST X-RAY? PATHOLOGICAL - BIOCHEMISTRY ( SGPT , SGOT , BILIRUBIN DIRECT & INDIRECT , ) LIPID PROFILE , C- REACTIVE PROTEIN ? TSH?? , FNAC , MT TEST?

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