Tuesday, July 1, 2025

45F With Hypothyroidism 20yrs, Metabolic Syn Telangana PaJR

01-07-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER IGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[01-07-2025 12.17] PPM 1: OP now 
45F with neck pains and tingling towards upper limbs with polyarthritis
Hypothyroidism 20 years on Tablet 88 mcg thyroxine 
On examination notably:
Brisk reflexes upper and lower limbs with delayed relaxation
Normal tone and power
Teeth: consistent with 35 years of NKP ground water exposure 
Hypothesis: Early cervical myelopathy may present with brisk reflexes while tone and power may remain unaffected?






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