Hello everyone! Iam an intern in the medicine department one of the important terms of getting the internship completion is to complete my log book with my daily log what i learn during the course of my duties. Case presentation: A 23 year old male autodriver by occupation came with cheif complaint of muscle pain of both biceps and calves after lifting heavy weights since 1month. HOPI: Patient was apparently asymptomatic 1month back , then he developed muscle pain after lifting heavy weights , which is of dragging type and associated with tingling sensation of both upper limbs. and lower limbs extending upto midarm , migthigh and slightly above the umbilicus. -Difficulty in carring heavy weights for long distance due to pain. -Difficulty culty in getting up from squatting and sitting position. -Pain on lifting the arms above the shoulders. -Headache intermittently on exposure to the sunlight for long time. -Slippage of footwear and taking m...