instruction: hello sir madam actually my father has do hen psoriasis and psoriasis arthritis now from some days he has neck stiffness sudden severe head ache pain usually start from back of the head or temple side pain start anytime throungout the day weakness in leg hand tingling walking weakness sir the is suddenly occur or times a day please help gabapin 100mg betacap 20 my and naxxdom 250 at sos these three medinice are recently prescribe by local medical note I have latest it scan available
output: hello welcome to icliniq the symptoms that you have mentioned in your father suggest towards brain infection or meningitis encephalitis or cerebral vascular accident ca which means either a bleeding from the vessels or blockage in the vessels the good thing is that the most lethal out of the above which is bleeding in the brain has been ruled out by the it scan the other things still need to be ruled out by some more evaluation based on all this I will be able to narrow down my differential diagnosis but you still need to visit a doctor in the hospital where they would examine your father completely and will be able to come to a diagnosis your father might need a lumbar puncture test in which a needle is inserted into the back to take minute quantity of csi which is the fluid that circulated around the brain to come to a diagnosis and for all these things he would need to go to the hospital also an mri scan may be required as a it scan only picks up gross abnormalities and some pathologies may be missed in the it scan mri brain lumbar puncture abc renal function tests liver function tests ca meningitis meningoencephalitis migraine meningitis to be decided after the investigations follow up with the above reports