𝐓𝐇𝐄 𝐍𝐄𝐔𝐑𝐎𝐋𝐎𝐆𝐘

Multiple Choice Questions in Neurology: A 50-year-old obese female patient presented in OPD with complaints of burning & tingling sensation in her feet for six months. She had off & on lower backache since six months. She had  medical history of dyslipidemia, hypertension and diabetes mellitus for the last five years. She was on Atorvastatin, Metoprolol, Losartan and Metformin. Examination of the patient revealed hyperesthesia and decreased vibration sense in the feet. Bilateral ankle jerks were absent. What could be the most probable diagnosis of this female? Diabetic Polyneuropathy Lumbosacral Radiculopathy Atorvastatin Induced Muscle Cramps Metformin can cause lactic acidosis and leads to muscle pain and cramps Discussion: Burning & tingling sensations are paresthesias. Predominantly distal paresthesias are suggestive of peripheral neuropathy. She was suffering from Diabetes mellitus, which also favors the diagnosis of peripheral neuropathy. Though, she ha