Open AccessAn elderly male with tingly legs and a heavy heart: Persisting with the diagnosis!
Author(s) -
Mudassar Kharadi,
Sreenath Vedula Harsha,
Gayathri Gopalakrishnan,
GA Karthick,
Vimal Raj,
Subramanian Kannan
Publication year - 2016
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.194413
Subject(s) - medicine , conviction , chronic diarrhea , peripheral neuropathy , intensive care medicine , diarrhea , physical examination , weight loss , pediatrics , general surgery , surgery , pathology , diabetes mellitus , endocrinology , obesity , political science , law
Pursuing a diagnosis despite a negative nerve biopsy report requires a strong clinical conviction. Paying attention to clinical details and a diligent review of medical records is needed to solve cases in which the diagnosis is not obvious despite numerous tests. We present once such case of an elderly man with chronic diarrhea, weight loss, and peripheral neuropathy and elaborate on a step by step basis on how the clinical thought process evolved after sifting through the reports of scan and tests done during his work up.