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.
Signs and symptoms that advanced lower extremity arterial disease is causing the leg pain include: 1  Decreased hair growth on the legs and feet. 2  Discoloration of the affected leg or foot when dangling (from pale to bluish-red) 3  Diminished or absent pulses in the affected leg or foot.