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Garry_Chess cute/twink πŸ³οΈβ€πŸŒˆBussy loverπŸ³οΈβ€πŸŒˆ  2mo ago (text post) 113 thread views #266827

Think like a doctor # just got into my main account

I'll be upfront in stating I have 0 expectations of anybody getting this correct.

Patient presents with right ulnar pain and leaves with a diagnosis of neuropathy and acute leukemia. What transpired to get to this point?

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Hmm... I went to a neurologist once, cause I had a slight numbness in some fingers. He made me do some hand/arm exercises and checked stuff like grip strength etc. Then I got some electrodes hooked up and they did some tests about nerve conduction velocity. Diagnosis was basically "could be a slightly pinched nerve or super early neuropathy". So I was recommended to take some vitamin b complex pills and do some stretching exercises. So something like that for neuropathy diagnosis in general.

No clue how you would end up with leukemia. Okay googled and I found a paper that said "Our case and literature review highlight, the fact that LGL leukemia should be considered in the differential diagnosis algorithm for peripheral neuropathy" and they did mention NCV as well. Yeah, but no clue. Probably a blood test, but dont ask me which. And they ruled out other neuropathy reasons (i know of alcohol & diabetes)

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Holy shit somebody got in the proximity of an actual answer. Was writing up the actual answer and you are very close. LGL leukemia is incorrect in most cases. This case is more AMLM4 but general acute leukemia given presentation. We ruled out LGL AL because the tremors were from previous family Hx. NCV is of no concern in this case.

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