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December 31st, 2020Hi there!
You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.
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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.
Her medical and surgical histories are unremarkable, while her family history is only significant for a brother who died in childhood from Menkes disease.
Currently, she is not on any medications. She is a strict vegan, and does not drink or smoke.
A complete blood count is significant for a Hb of 9.3 g/dL, erythrocyte count of 3.1× 10^12/L, and a MCV of 126 fL. A fasting plasma glucose level is 84 mg/dL.