Numb : Part 1

Nervous System & Special Senses


Step 1: View Clinicals

{"ops":[{"insert":"A 60 year old man presents with numbness of both feet for 2 months.\n\nHe was diagnosed with type 2 diabetes mellitus 6 years ago, which is well controlled on Metformin alone. His medical history is otherwise unremarkable.\n\nHe consumes a mixed diet and only drinks socially.\n\nHis HbA1c is 6.0%, while a recent full blood count and serum creatinine were normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-026_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Electrodiagnostic studies
2. ESR + S. Electrophoresis
3. Serum Vitamin B12 and Folate
4. Serum TSH

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