rubric/mm help please
Posted: Sat Sep 17, 2005 11:16 pm
Hi,
I just took a case - a "sent by my wife and won't tell you anything" patient...
Chief complaint: numbness in the ball of both feet, with occasional sudden shooting pains into the toes. No clear exciting cause, but the problem started at the end of Seder night, the first night of the Jewish festival of passover, characterized by a long night of eating heavy foods and drinking four cups of wine (at least). He said that at the time he thought that's what caused the problem with his feet.
He had his gall bladder removed 6 months before this happened, they found 20 tiny stones, brownish in colour (like gravel).
He reports a strange symptom: after eating fish or meat, he becomes very cold, the back of his neck turns to ice, he gets a headache between his eyes and he feels his circulation slowing. He gets sleepy, and sleep amel. This has been going on for about 5-6 years.
No clear hot/cold modalities, but bathing in warm water amel.
Any ideas?
Thanks,
Vera
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[Non-text portions of this message have been removed]
I just took a case - a "sent by my wife and won't tell you anything" patient...
Chief complaint: numbness in the ball of both feet, with occasional sudden shooting pains into the toes. No clear exciting cause, but the problem started at the end of Seder night, the first night of the Jewish festival of passover, characterized by a long night of eating heavy foods and drinking four cups of wine (at least). He said that at the time he thought that's what caused the problem with his feet.
He had his gall bladder removed 6 months before this happened, they found 20 tiny stones, brownish in colour (like gravel).
He reports a strange symptom: after eating fish or meat, he becomes very cold, the back of his neck turns to ice, he gets a headache between his eyes and he feels his circulation slowing. He gets sleepy, and sleep amel. This has been going on for about 5-6 years.
No clear hot/cold modalities, but bathing in warm water amel.
Any ideas?
Thanks,
Vera
__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail.yahoo.com
[Non-text portions of this message have been removed]