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How Can Leg Weakness, Spasms In The Calves Along With Cramps And Intermittent Chills Be Diagnosed And Treated While Having A History Of IDDM?
Question: Episode of leg weakness after getting out of car ( seated < than 1 hour). Looked like he was going to fall. Sat back down, drove up to house and he was able to get out of car unassisted.
1. Has had leg weakness 2 weeks, lot of complaining,, but was able to play 18 holes X 3
2. Feels like calves are going to go into full blown spasm, but doesn't occur
3. Bringing toes back to foot causes the cramping feeling in calves...cap refill <3 sec. Both pedal pulses present and equal
4. Intermittent feeling of chills
5. No CP or SOB, no injuries, but worked had for preparation of family reunion....very active 74 yr old
6. 20 history of IDDM........
7. Received I-131....two months ago for Graves
Emergency nursing was my occupation and I have no idea what to think or do. Primary MD is unable to see him. Thanks for guidance.
1. Has had leg weakness 2 weeks, lot of complaining,, but was able to play 18 holes X 3
2. Feels like calves are going to go into full blown spasm, but doesn't occur
3. Bringing toes back to foot causes the cramping feeling in calves...cap refill <3 sec. Both pedal pulses present and equal
4. Intermittent feeling of chills
5. No CP or SOB, no injuries, but worked had for preparation of family reunion....very active 74 yr old
6. 20 history of IDDM........
7. Received I-131....two months ago for Graves
Emergency nursing was my occupation and I have no idea what to think or do. Primary MD is unable to see him. Thanks for guidance.
Brief Answer:
Neurological conditions to consider.
Detailed Answer:
Hello,
Symptoms you describe are most likely related to the nerves dysfunction than vascular diseases since the pulses are equal in both feet and there is no subsequent swelling or redness. Neurological conditions that may aggravate by certain positions include lumbar spine stenosis, spondylolisthesis, etc.
Yet, lesions of the well-located areas of the brain such stroke, tumors, etc. are possible too. In my opinion, getting evaluated by a Neurologist is a necessity step in order to achieve a more accurate diagnosis. Imaging studies also are necessary for this purpose.
Hope you found the answer helpful. Let me know if I can assist you further.
Take care.
Regards
Neurological conditions to consider.
Detailed Answer:
Hello,
Symptoms you describe are most likely related to the nerves dysfunction than vascular diseases since the pulses are equal in both feet and there is no subsequent swelling or redness. Neurological conditions that may aggravate by certain positions include lumbar spine stenosis, spondylolisthesis, etc.
Yet, lesions of the well-located areas of the brain such stroke, tumors, etc. are possible too. In my opinion, getting evaluated by a Neurologist is a necessity step in order to achieve a more accurate diagnosis. Imaging studies also are necessary for this purpose.
Hope you found the answer helpful. Let me know if I can assist you further.
Take care.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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