instruction: hi doctor I am an 18 year old healthy female all day today I have had sharp pain in one tiny spot on my left hand there is a tiny red mark that looks like a scratch but it is not it is not warm but the pain is also spreading to my arm I have also had the same type of pain in both my legs and my foot for a couple weeks now but no veins or redness are there I have anxiety which makes me always think the worst I am scared that I have dot and that any minute now I am going to drop dead please give some suggestions as to what this might be could it be something with muscles or nerves should I go to a hospital any information would help thank you
output: hello vitamin b12 deficiency hyperthyearoidism thiamine level and abc complete blood count if the above are negative then nerve conduction study or electromyography egg of the affected hand it would depend upon the blood work it does not appear to be a dot from the information provided revert back with the report to an internal medicine physician online