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.
Paresthesia of the upper extremity: Symptom Checker. Listed below are some combinations of symptoms associated with Paresthesia of the upper extremity, as listed in our database. Visit the Symptom Checker, to add and remove symptoms and research your condition.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.