29 year old female non smoker non alcoholic without any previous diseases
c\o difficulty with lifting her hands (useing the comb and house jobs)
and difficulty standing from setting and these symptoms were progressive over about 1 week . no vomiting no diarrhea no fever no abdominal pain no any other symptoms drug history negative
examination : proximal weakness of limbs (power4/5 in all limbs)
sensory examination normal tendon reflexes were increased
no other abnormalities were detected by clinical examination
serum k: 2.4
serum ca 1.8 mmol/l
LFT and RFT NORMAL CBC normal serum sugar normal serum albumin normal
ECG flat T in most leads
pt was diagnosed firstly hypokalamic periodic paralysis and treated with iv chloride potasium without improvement then serum mg was done and result 0.7mmol/l ABG MRTABOLIC ALKALOSIS PH 7.5
BLOOD PRESSURE recordings between 140/80 and 150/90 then patien was given mg sulfate chloride potasium and aldacton 100mg/ day
then serumk k between 3 and 3.8 serum mg 1mmol/l
with improvement in muscle weakness
what is the diagnosis
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