Abstract

Clinical History

A 27-year-old fruit vendor presented to Internal medicine casualty with history of fatiguability for 2 days, acute in onset and gradually progressive that restricted his activities of daily living.

• No h/o fever or night sweats
• No loss of weight or appetite, diarrhoea or vomiting
• No chest pain, dyspnoea on exertion, orthopnoea or PND
• No weakness of limbs/deviation of angle of mouth
• No palpitation or sweating
• No h/o alcohol intake.
• No illicit drug abuse or stressor.