June 6th,2020 Medicine intern log Hello evaryone,Iam a medical intern and recently started my medicine posting.this blog is to share my medicine experiences and cases i come across during this period. CASE A 57 year oldfemale patient came with complaints of weakness of both lower limbs Since 3 months. Patient was apparently asymptomatic 3 months back when she was doing her routine daily work,she developed weakness of bilateral lower limbs which was sudden in onset.she went to a local hospital and treated by a local doctor but their was no improvement.sensations are lost in both lower limbs from below the nipple.both the upper limbs are normal No h/o upperlimb involvement No h/o deviation of mouth No h/o slurring of speech No h/o urinary incontinence, No h/o fever,loose stools Past history : she had a h/o thyroid surgery 4 years back No h/o hypertension,diabetes mellitus,CAD,asthma Personal history: diet is mixed Appetite is regular