Neurology(C)

A1. EVOLUTION OF SYMPTOMS:

Patient was apparently asymptomatic 8months ago

 

·         Developed pedal edema(B/L) pitting type which was gradually progressive

               Aggravated on sitting and standing

              Relieved on taking medication

·         Palpitations:

Duration: since 5days; sudden in onset, seen more during night time

Aggravated on lifting weights and speaking continuously

Relieved on taking medication, drinking more water

Dyspnoe during palpitations(NYHA III) since 5days

 

·         Pain: since 5 days ; radiating along the left upper limb

·         Chest pain associated with chest heaviness

 

ANATOMICAL LOCALIZATION:

PEDAL EDEMA





 

PALPITATIONS



 

 DYSPNOEA:



PAIN RADIATING TO LEFT UPPER LIMB:

  



  

 

ETIOLOGY:

Ø  Palpitations, generalized weakness can be due to metabolic causes as she already has a past history of hypokalemia.

Ø  Pain radiating to left upper limb can be due to cervical spondylosis.

 

 A2. She is having recurrent hypokalemic paralysis can be due to use of diuretics.

Causes of hypokalemia:





A3.ECG CHANGES IN HYPOKALEMIA:



Ø  Symptoms of hypokalemia :

            Weakness & fatigue, palpitations, muscle cramps & pain, anxiety, psychosis, depression, delirium. 

                               

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