Concluded Case

Unable to walk & Paralysis of Both legs

30 yrs male has chronic alcohol drinker& day and night alcohol consumption, no proper food for 30 days, sedentary life style. Chief Complaints Weakness and numbness of hands and legs Unable to stand & walk properly Couldn't able to lift legs Severe nausea & vomitings Edema of legs History Chronic alcohol drinker H/o Mild hepatomegaly Minimal plueral effusion Peri Pancreatic standy Hyperbilirubinemia Gall bladder sludge Vitals Temp :98°F Spo2: 98% Hr : 115 /min BP : 130/80mmog hg Physical Examination Unable to stand and walk Weakness Nausea vomitings Mouth ulcers swelling of both legs Neuropathy of hands and legs Investigations CT brain shows normal Ls spine shows normal Thyroid profile normal Cbc shows changes LFT & RFT Normal Electrolytes shows Hypokelemia 3.1 mMol/l And low sodium levels 118mMol/l Chloride levels are high 123mMol/l Diagnosis Paralysis of legs and neuropathy of hands Management Patient using Tab. eptoin 100mg bid Tab. Strocit plus od Inj. Citicolin of Inj. Pantop 40 Tab ursodoxy 300 mg Tab. Prefab nt Kindly do further evaluation Diagnose Dx & Rx treatment

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Concluded answer

Continue same treatment and add kesol and slow replacement of sodium. Further EMG NCV.

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Leukodystrophy Metachromatic dysplasia Shringomyelia Ref case to Neurologists

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Continue same treatment and add kesol and slow replacement of sodium. Further EMG NCV.

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1

MRI screening of spine NCS to identify peripheral nerve lesions

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TREATMENT. CONTINUOUSLY... REFER TO NEUROLOGST?

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