A 52 year-old male presents to the ED with ascending leg wea…
A 52 year-old male presents to the ED with ascending leg weakness that has progressed over the past week after he had an upper respiratory illness. He is areflexic in his lower extremities. You suspect he may have an Acute Inflammatory Demyelinating Polyradiculoneuropathy like Guillain-Barre Syndrome. Before starting treatment, you want to confirm the diagnosis. Which test is most appropriate?
Read DetailsLarge cerebellar ischemic strokes require 72 hours of monito…
Large cerebellar ischemic strokes require 72 hours of monitoring in the ICU to monitor for changes in the neurologic exam that could indicate obstructive hydrocephalus necessitating a sub-occipital decompression surgery. What would be the FIRST clinical sign you would expect to see in this patient that would indicate a clinical deterioration?
Read DetailsWhat, if anything, does Petronius’ Trimalchio’s Dinner Party…
What, if anything, does Petronius’ Trimalchio’s Dinner Party teach us about the position of freedmen in the Roman empire? If it is not a useful source, explain why; if it is useful, describe 2 pieces of information it provides. In either case, cite 1-2 examples from the text to support your claim.
Read DetailsJim is a 65 year old obese male with a history of hypertensi…
Jim is a 65 year old obese male with a history of hypertension treated with HCTZ and Atenolol, DM type 2 treated with Metformin, and PVD treated with an exercise program. He had a 75 second suspected seizure while at Kroger’s. Bystanders report that he had left head turning, left arm flexion, and then generalized shaking. He is brought to your ED. On arrival, he is alert and oriented x4. He tells you he has no history of seizures. What is the first test that you would order?
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