Alcoholic Peripheral Neuropathy

CHIEF COMPLAINTS:
A 32yr old gentleman came to the opd with chief complaints of:
 • B/L Lower limb weakness (Left > Right)
 • B/L Lower limb pain

HISTORY OF PRESENTING ILLNESS:
Patient was apparently asymptomatic 3 days backs.
H/o heavy weight bearing he developed Left lower limb pain which is insidious in onset, gradually progressive and dragging type
No h/o trauma
No swellings noted

HISTORY OF PAST ILLNESS:
N/K/C/O DM/HTN/Thyroid disorders

TREATMENT HISTORY:
Not significant

PERSONAL HISTORY:
 • Married
 • Normal appetite
 • Mixed diet
 • Bowels regular
 • Normal micturition
 • No known allergies
 • Habits/Addictions: Regular alchol and tobacco consumption

FAMILY HISTORY:
Not significant

PHYSICAL EXAMINATION:
GENERAL:
 • PICKLE: Negative

VITALS:
 • BP: 110/70 mmHg
 • PR: 80bpm
 • RR:16 cpm
 • TEMP: Afebrile
 • SpO2: 96%  @ RA

SYSTEMIC:
CARDIOVASCULAR SYSTEM:
 • S1,S2 heard
 • No murmurs
 • No thrills

RESPIRATORY SYSTEM:
 • Position of trachea: Central
 • Breath sounds: Vescicular
 • Adventitious sounds: None
 • No dyspnea and wheeze

ABDOMEN:
 • Shape: Scaphoid/Obese
 • Bowel sounds: Heard

CENTRAL NERVOUS SYSTEM:
 • Conscious
 • Normal speech
 • No signs of Meningeal irritation

Tone:.      Right.                Left
UL.           Normal.           Normal
LL.            Normal.           Normal

Power.    Right.                 Left
UL.          5/5.                     5/5
LL.           4/5.                     4/5

CEREBRAL SIGNS:
None

PROVISIONAL DIAGNOSIS:
Peripheral Alcoholic Neuropathy/ Myalgia?

INVESTIGATIONS:
 • CBP
 • CUE
 • Serum Creatinine
 • ECG
 • CXR

PLAN OF CARE:
Conservative


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