What is the Reason for Wrist Drop in This 45-year-old Patient?

Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge . Case presentation A 45-year-old male patient was rushed into the emergency department by his relatives with a history of altered consciousness for two hours.

He was a known case of type 1 diabetes for the last twenty years and was on regular injectable insulin. Vitals Oxygen saturation – 94% Blood pressure – 106/68 mmHg Blood glucose – 430 mg/dL Glasgow Coma Scale (GCS) score – 9/15                 Laboratory investigations WBC - 13 × 10 9 /L Blood ketone – 4.1 mmol/L Arterial blood gas (ABG) analysis - pH of 7.18, with an anion gap of 21 Potassium - 3.6 mEq/L Management An intravenous line was established, and normal saline at 10 ml/kg was instituted in the first hour. A second IV line was secured for insulin…