58 yr male non smoker ,no underlying comorbidity C/O myal
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58 yr male non smoker ,no underlying comorbidity
C/O myalgias ,generalized weakness
pt was apparently alright 2 months back when he started complaining of headache nd vomiting for 10 days
NHO : fever ,loose stools ,cough, sweating, ,dysuria
NO : travel ,drug ,past history
NCCT was advised by neurologist then advised MRI Brain which was grossly normal
ALL baseline investigations normal : CBC , LFT, KFT , BSR, URINALYSIS, Ca PO4 , Uric acid , LDH , CPK, RF , ESR, CRP, TSH , Vit D , ANA, NCV , :: normal
EXAMINATION : normal
Treatment so for : PPI ,Naproxen dm , propanol,clonazepam ,NSAIDS , Shelcal CT , Thiamin , Dothepin , Divalproex , escitalopram ,
NO IMPROVEMENT at all ...
he is having tenderness more in lower limbs nd little bit weight loss , headache vomiting on off also
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Dr. N●●●Z A●●●D
Dr. N●●●Z A●●●D Other
Can somebody help me in diagnosis ?
Jul 11, 2020Like
R●j B●●i
R●j B●●i General Medicine
Serum electrolyte levels? Also anti CCP antibodies ?
Jul 13, 2020Like