Dr. Suresh Narayanan (Internal Medicine) needs a second opinion on this medical case.
15 yrs old male pt has admitted with the complaints of vomiting 4 times followed by inability to use the lower limbs initially within one hr both upper limbs also. .quadriparesis. .
BP ..96/70 mmhg. .
ecg shows arrhythmia. .
1.. what are the clinical conditions that will affect both heart and nervous system. ..how will you differentiate clinically?
2..how to approach this pt?
3. ecg findings?
4..investigations and treatment? plz share your views. ...Thanks in advance. .