pt with Ataxia secondary to ? alcoholic neuropathy

A30 yr old male came with c/o weakness of both lower limbs since yesterday (4/4/22)
Difficulty in walking since yesterday (4/4/22)
HOPI : 
Pt was apparently normal since 2 days back then he developed generalised weakness and difficulty in walking associated with weakness of both lower limbs
PAST HISTORY : 
Not a k/c/o htn , dm , epilepsy , asthma , tb
PERSONAL HISTORY : 
Chronic alcoholic , daily 360 ml of whisky per day , last binge 1 day back ( on 3/4/22)
Bowel and bladder are regular
No significant family history
GENERAL EXAMINATION : 
No pallor , icterus, cyanosis ,clubbing, lymphadenopathy, koilonychia
Temp : afebrile
Pr :86 bpm
Bp:110/60 mmhg
Spo2: 98%
SYSTEMIC EXAMINATION :
RS : Bilateral air entry present , normal vesicular breath sounds , 
 
P/A : soft , non tender , bowel sounds present
 
CVS : S1 S2 present , no murmurs 

CNS : No abnormalities detected
INVESTIGATIONS : 
Hemogram
Rft
Lft
C x ray

ecg
APRAXIA CHARTING ( 7/4/22)
GAIT :

Cerebellar function tests


GRBS CHARTING :

7/4/22
 8 pm176
2pm 105
8Am 97

8/4/22
 8am96
2pm106

9/4/22
12am 208
8am 122

Rx : 
5/4/22
1 IVF : 1NS , 1DNS Each one pint , 2 RL one pint
2 INJ . OPTINEURON 1 AMP IN 100 ML NS 
3 INJ PANTOP 40 MG IV /OD
4 INJ THIAMINE 2 AMP IN 100 ML NS/TID

6/4/22
1 IVF : 2 NS , 1 DNS , 1 RL 500 ML
2 TAB PANTOP 40 MG PO/OD 
3 INJ THIAMINE 2 AMP IN 100 ML NS/TID
4 TAB.LORAZEPAM 2 MG PO
     1-1-2  X 2 DAYS
     1-X-2  X 2 DAYS
     X-X-2  X 2 DAYS
     X-X-1  X 2 DAYS
5 TAB BACLOFEN XL 20 MG x - x- 1

7/4/22
1 IVF : 2 NS , 1 DNS , 1 RL 500 ML
2 TAB PANTOP 40 MG PO/OD 
3 INJ THIAMINE 2 AMP IN 100 ML NS/TID
4 TAB.LORAZEPAM 2 MG PO
     1-1-2  X 2 DAYS
     1-X-2  X 2 DAYS
     X-X-2  X 2 DAYS
     X-X-1  X 2 DAYS
5 TAB BACLOFEN XL 20 MG x - x- 1
6 SYP LACTULOSE 10 ML x PO X HS

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