Female patients in medicine OPD are entirely different from male patients. They will never tell their complaints properly. If a lady is saying, "achha nahi lagata" it may mean anything from acidity to MI (Myocardial infarction/Heart attack), just premenopausal symptoms to Cancer, and domestic disputes to sexual displeasure.
One fine day, during my regular Medicine OPD of a government hospital; an 18 year lady came to me. She said- I get swelling of right upper limb.
Her right hand was absolutely normal. But she maintained her stand. I had almost burnt my finger in previous case. So tried to be cautious and not just dispose her off.
I asked what else she gets. She told me nothing else than right upper limb swelling. Local examination was absolutely normal. I decided to go through her previous papers. She had shown to a neurologist who had advised an MR brain. This was absolutely stunning to know a doc advised MR brain for upper limb swelling. I decided not to pull the matter further as dozens of patients were already in the queue. I admitted her to wards for MRI.
MRI people were not busy that day to ask why I needed MRI!
To my surprise, the scan showed Multiple Sclerosis.
Harrison's textbook clearly mentions this symptom as one of the presenting feature of multiple sclerosis.
Now I was confused if I should disregard any lady's non-specific complaints or I should accept that medicine is too vast a subject for me to understand it completely!!
Story courtesy Dr.Vipul