MBBS All Subjects Clinical Case Scenarios (Clinical Case Studies)
CASE SCENARIO
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A 30 year farmer complained of easy fatiguability, giddiness and dyspnoea on exertion since 6 months. He also noticed tingling and numbness of the feet. He was a strict vegan.
On Examination:
Pallor+++
Mild icterus+
Hyperpigmentation of knuckle+.
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Diminished pain sensation upto midcalf level.
Plantar extensor.
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