Numbness/Weakness Flashcards
68yo M presents following a 20minute episode of slurred speech, right facial drooping and numbness, and right hand weakness. His symptoms had totally resolved by the time he got to the emergency department. He has a history of hypertension, diabetes mellitus, and heavy smoking.
TRANSIENT ISCHEMIC ATTACK (TIA) hypoglycemia seizure stroke facial nerve palsy
ct head cbc electrolytes, glucose fasting lipid panel ecg mri brain dopper U/S - carotid echocardiography eeg
68yo M presents with slurred speech, right facial drooping and numbness, and right hand weakness. Babinski sign is present on the right. He has a history of hypertension, diabetes mellitus, and heavy smoking.
STROKE tia seizure intracranial neoplasm subdural or epidural hematoma
ct head cbc electrolytes pt/ptt/inr fasting lipid panel mri brain doppler u/s carotid echocardiography ecg
33yo F presents with ascending loss of strength in her lower legs over the past 2 weeks. she had a recent URI.
GUILLAIN-BARRE SYNDROME multiple sclerosis polymyositis myasthenia gravis peripheral neuropathy tumor in the vertebral canal
cbc electrolytes cpk LP MRI-spine EMG Nerve conduction studies Tensilon (edrophonium) test Serum B12
30yo F presents with weakness, loss of sensation and tingling in her left leg that started this morning. She is also experiencing right eye pain, decreased vision and double vision. She reports feeling “electric shocks” down her spine upon flexing her head.
MULTIPLE SCLEROSIS stroke conversion disorder malingering CNS tumor neurosyphilis syringomyelia CNS vasculitis
cbc esr vdrl/rpr mri brain,spine LP retinal evoked potentials
55yo M presents with tingling and numbness in his hands and feet (glove-and stocking distribution) for the past 2 months. He has a history of diabetes mellitus, hypertension and alcoholism. There is a decreased soft touch, vibratory, and position sense in the feet.
DIABETIC PERIPHERAL NEUROPATHY alcoholic peripheral neuropathy B12 deficiency hypocalcemia hyperventilation paraproteinemia/myeloma
HbA1c esr calcium serum B12 UA serum and urine protein electrophoresis
40yo F presents with occasional double vision and droopy eyelids at night with normalization by morning
MYASTHENIA GRAVIS Horner's syndrome Multiple sclerosis intracranial neoplasm compressing CN3,4,6 amyotrophic lateral sclerosis
tensilon (edrophonium) test serum ACh receptor antibodies cxr ct chest mri brain emg
25yo M presents with hemiparesis after a tonic-clonic seizure that resolved within a few hours.
TODD'S PARALYSIS tia stroke complicated migraine malingering
cbc electrolytes eeg mri-brain doppler u/s carotid
56yo obese F c/o tingling numbness of her thumb, index finger, middle finger for the past 5 months. Her symptoms are constant, have progressively worsened, and are relieved with rest. She works as a secretary. She has a history of fatigue and a 20lb weight gain over the same period
CARPAL TUNNEL SYNDROME SECONDARY TO HYPOTHYROIDISM
overuse injury of median nerve
medial epicondylitis
phalen’s maneuver and tinel’s sign
nerve conduction studies
tsh
cbc
