Question

A 55 year old patient from chattisgarh presents with progressive muscle weakness, stiffness of both lower limbs & complete paralysis. Most important history asked

• A. Dietary history
• B. Medical history
• C. Present illness
• D. socioeconomic

Answer 1

The Correct Option is A

A 55-year-old patient from Chattisgarh presents with progressive muscle weakness, stiffness of both lower limbs, and complete paralysis. To determine the underlying cause, it's crucial to ask the most relevant history, which in this case is the Dietary history.

Here's why:

1. Possibility of Nutritional Deficiency: In regions like Chattisgarh, certain nutritional deficiencies are prevalent due to local dietary habits. A deficiency, particularly in essential nutrients like vitamins or minerals, can lead to neurological symptoms such as muscle weakness and paralysis.
2. Link with Local Diet: It's common for certain areas to have endemic deficiencies linked to prevalent local diets. Understanding the patient's dietary intake can help identify insufficient nutrients, such as vitamin B12, that could cause neurological issues.
3. Correlation with Symptoms: The symptoms of muscle weakness and paralysis can be strongly indicative of certain nutrient deficiencies, which are often revealed through an in-depth dietary history.

Given these factors, obtaining a detailed dietary history is essential in understanding and diagnosing the potential nutritional causes of the patient's symptoms.