What is diagnosis and treatment
Pt age about 32 years No history of Sugar and High BP .No family history .. suffering from pain and weakness in RT hand fingers , unable to hold pain or any object.. since 2 years .. increasing day by day. Hardness in RT lower limb .. since 6 month...no improvement after physiotherapy and treatment. NCV report normal... diagnosis and treatment..Sir ..
NEED'S.. CLINICOPATHOLOGICAL.. NEUROLOGICAL .. EVALUATION..WITH.. CTCE..MRI..STUDY BRAIN.. CERVICAL SPINES.. MEANWHILE TREAT SYMPTOMATICALLY..WITH.. NEUROTROPHIC VITAMINS.. GABAPENTIN WITH NORTRIPTYLINE.. ANALGESICS..
H/o smoking? Raynaud's / Buerger's to be excluded after MRI cervical spine to exclude cervico brachial compressive neuropathy.
Need evaluation Xray cervical spine MRI cervical spine
NEED'S.. CLINICOPATHOLOGICAL.. NEUROLOGICAL .. EVALUATION..WITH.. CTCE..MRI..STUDY BRAIN.. CERVICAL SPINES.. MEANWHILE TREAT SYMPTOMATICALLY..WITH.. NEUROTROPHIC VITAMINS.. GABAPENTIN WITH NORTRIPTYLINE.. ANALGESICS..
MRI brain, nerve conduction studies. Tab gabapentin 100 and nortip 10 both HS. X 7 Cap meconerv forte OD x 15days
Ankylosing.spondylitis.
Peripheral neuropathy
CT brain and nerve conduction studies to be done
Artharlgia Neuritis Tab Gabapentine 300 mg bd Cap Pregabaline 75 mg bd
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A known case of Pulmonary Koch's and Tuberculous liver abscess presented 2 and a half years back. Treated with resolution of liver abscess and continued ATT for 9 months - patient was lost to follow-up. Now the patient has presented with persistent tingling in both feet / soles and occasional tingling left palm since the time he was taking ATT that is for almost 2 years. No other symptoms. Chest and abdominal exam are normal. Reflexes normal. Peripheral sensations normal. Power normal in all 4 limbs. USG Abdomen does not show anything significant. MT negative. NCS is normal - report attached. Suggestions on diagnosis and management? EDIT: Patient has been put on various cominations of AEDs (Gabapantin, Pregabalin) and anti depressants (Duloxetin, amitriptyline, nortriptyline, venlafaxine) and Vit B12 at several centers with no relief. His current B12 level is 1187
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a patient is complaining paraesthesia in fingers of hand and feet associated with black discolouration with H/o of alcohol intake what is dx and rx
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