Pakistani english is based on an Urdu accent in English. Most Pakistanis speak Urdu as a first or second language and according to the concept of language acquisition a person usually speaks their third language with an accent reminiscent of their second languag.
Pain, Numbness, Tingling, and Weakness of the Upper Extremities. When a patient is experiencing pain, numbness, tingling or weakness in the arms or hands and they do not have a distinct injury in the same area, there are typically three possible causes for those symptoms. The first cause is nerve irritation.
Causes of Similar Symptoms to Paresthesia of the upper extremity. Research the causes of these symptoms that are similar to, or related to, the symptom Paresthesia of the upper extremity: 1  Peripheral neuropathy (299 causes).2  Diabetes mellitus (66 causes).3  Vitamin B12 deficiency. 4  Subacute combined degeneration of the spinal cord.esearch the causes of these symptoms that are similar to, or related to, the symptom Paresthesia of the upper extremity: 1  Peripheral neuropathy (299 causes). 2  Diabetes mellitus (66 causes). 3  Vitamin B12 deficiency. 4  Subacute combined degeneration of the spinal cord.