Tingling

Blood & Lymphoreticular System


Step 1: View Clinicals

{"ops":[{"insert":"A 35 year old woman presents with a tingling sensation in both hands and feet for 2 months, in association with worsening numbness. No other symptoms were present.\n\nHer medical and surgical histories are unremarkable, while her family history is only significant for a brother who died in childhood from Menkes disease.\n\nCurrently, she is not on any medications. She is a strict vegan, and does not drink or smoke.\n\nA complete blood count is significant for a Hb of 9.3 g\/dL, erythrocyte count of 3.1\u00d7 10^12\/L, and a MCV of 126 fL. A fasting plasma glucose level is 84 mg\/dL.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-122_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Peripheral Blood Film
2. MRI Cervical & Thoracic Spine

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