Endocrine System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with acute paralysis of the upper and lower limbs - an unusual, almost intimidating presentation.\n\nHowever, it should be kept in mind that a mix of systematic analysis and observation for important \u0027clues\u0027 is often sufficient to crack even the most complex presentations.\n\nFirst of all, the very rarity of this presentation serves us well, as there are only a few likely causative diseases.\n\nThe most prominent of these include brain stem strokes, anterior spinal artery occlusion, snake bites, and periodic paralysis.\n\nThe history of a similar episode in the recent past provides us with an important clue, i.e. this is a recurrent etiology.\n\nThis essentially limits the differentials to two key possibilities: recurrent t"}]}

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