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A 57 year oldfemale patient came with complaints of weakness of both lower limbs Since 3 months. Reduced sensations in both lower limbs since 3 month.     Patient was apparently asymptomatic 3 months back when she was doing her routine daily work, she developed weakness of left limb in the form she had difficulty in raising the left leg, she also had difficulty in climbing up and down stairs, difficulty in getting up from squatting position.  But she was able to walk with difficulty 5 days later she noticed difficulty in gripping chappals and to walk with chappals in both lower limbs . 10 days later she Noticed similar weakness in right leg also . Both her upper limbs were normal, She was able to lift her head from pillow,  7 days later she developed numbness and burning sensations below the nipple area, and both lower limbs. She had difficulty in feeling her clothes and had difficulty in differentiating hot and cold water below the nipple area. No H/0 of improvement...

A 47 year male patient resident of Nalgonda came with chief complaints of abdominal distension and swelling of bilateral lower limbs since 6 months which is gradually increasing since 10 days and fluid discharge from the umbilical area since 2 days and fever since 2 days. History of present illness Patient was apparently asymptomatic 18 months back then he   noticed abdominal distension which is insidious in onset and gradually progessive in nature and subsequently noticed bilateral swelling of lower limbs , he was hospitalized for one week and took medication which increased his urine output and abdominal paracentesis  was done and felt better ,, However he  discontinued medicine 6 months back and presented with similar complaints where he was hospitalized and treated conservatively , he was hospitalized 3 months back again with similar complaints , again abdominal paracentesis of 1.5 to 2 lit was done. He is on medication ,   the past 10 days he noticed...