Case 33 - 40 YR FEMALE WITH QUADREPARESIS
December 23, 2021 40 YR FEMALE WITH QUADREPARESIS A 40 yr old female came to opd with C/o giddiness and unable to get up on her own when she woke up today morning unable to stand without support swaing to right side on standing C/o fever since yesterday a/w chills, bodypains No c/o weakness of limbs,seizures,headache,sensory symptoms No c/o burning micturation,cough,SOB,vomiting,loose stools No H/o head trauma K/c/o DM since 10yrs (diagnosed when pregnant had giddiness and went for checkup) on T.GLUCORYL M1 BD K/c/o hypothyroidism since 4yrs on T.Thyronorm 25mg OD O/E: Pt C/C/C Mild pallor+ No icterus/cyanosis/clubbing/koilonychia/lymphadenopathy/pedal edema Temp: 101°F PR: 98 bpm BP: 120/80 mmhg RR: 18/min SPo2: 98 @ RA CVS - S1 S2 + RS - BAE + P/A - soft, non tender CNS - HMF - intact delay in obeying commands Cranial nerves - intact Power RT LT UL 3/5 1/5 LL 3/5 1/5 Tone normal normal Reflexes RT LT Biceps 2+ 2+ Triceps