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What's your diagnosis ?

Posted: 15 Aug 2012, 22:02
by Amr Dirar
21-years old anorexic is admitted for parenteral nutrition and has a tunnelled line inserted.

A few days after parenteral feeding has begun you are asked to see her as she has begun complaining of diplopia, lethargy and muscle weakness. She also has paraesthesia affecting her hands and feet.

Examination confirms global muscle weakness and peripheral sensory loss.





Give explanation please ....

Re: What's your diagnosis ?

Posted: 16 Aug 2012, 17:26
by thuraiaibrahim
Hospitalized pt with Anorexia Nervosa and NGT feeding are at risk of
Refeeding syndrome
which can lead to profound hypophosphatemia>>
Revise The only MRCP notes you will ever need -by Hani