Blood & Lymphoreticular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Acute flaccid paralysis (AFP) is a neurological emergency with an extremely broad differential diagnosis encompassing pathologies of the cerebrum (such as stroke), cerebellum (such as acute cerebellar ataxia), spinal cord (e.g. cord compression, transverse myelitis), and the peripheral nerves (such as Guillain-Barre syndrome and poliomyelitis).\n\nHowever, the presence of exaggerated deep tendon reflexes in this patient provides a valuable diagnostic aid; this finding is strongly against a peripheral neuropathy, as diminished reflexes are usually encountered in these.\n\nNote also the history of bladder and bowel dysfunction in conjunction with a massively distended bladder (i.e. suggestive of a neuropathic bladder). This hints that the patholo"}]}

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