Even More Paralysis

Immune System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The patient who presents with acute weakness is a common presentation in emergency medicine; while a significant number of such cases are due to stroke, many other diseases can also present in this manner, bedeviling the life of the attending clinician.\n\nA comprehensive history and examination is key to the rapid and accurate diagnosis of these patients; here, this reveals several important findings:\n- There is symmetric weakness of the upper and lower limbs, along with hyporeflexia.\n- The lower limbs are more affected than the upper limbs (i.e. this appears to be an \u0027ascending\u0027 weakness)\n- There is no sensory impairment\n\nIn other words, this is an ascending flaccid paralysis, which is symmetric in nature; key diagnostic considerations incl"}]}

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