USMLE Forum Archives - USMLE Step 2 CK - Acute Progressive Weaknes of Extremities
Acute Progressive Weaknes of Extremities
adonis123 - 01-19-11 02:35
A 32 yr-old man has a four day history of progressive weakness in his extremities.He has been healthy except for an upper respiratory tract infection ten days ago.His temperature is 37.8 deg C,BP is 130/80 mmHg,pulse is 94/min,and respirations are 42/min and shallow.He has symmetric weakness of both sides of the face and the proximal and distal muscles of the extremities.Sensation is intact.No deep tendon reflexes can be elicited;the plantar responses are flexor.Which of the following is the most likely diagnosis?
adonis123 - 01-19-11 02:35
A 32 yr-old man has a four day history of progressive weakness in his extremities.He has been healthy except for an upper respiratory tract infection ten days ago.His temperature is 37.8 deg C,BP is 130/80 mmHg,pulse is 94/min,and respirations are 42/min and shallow.He has symmetric weakness of both sides of the face and the proximal and distal muscles of the extremities.Sensation is intact.No deep tendon reflexes can be elicited;the plantar responses are flexor.Which of the following is the most likely diagnosis?
The correct answer and explanation will be available after you answer.
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#2
Re: Acute Progressive Weaknes of Extremi babbu5508 - 01-19-11 11:18 My answer is: b.
symmetric weakness of both sides of the face and the proximal and distal muscles of the extremities.Sensation is intact.No deep tendon reflexes can be elicited..guillain barre
#3
Re: Acute Progressive Weaknes of Extremi rescue2011 - 01-19-11 20:55 My answer is: b.
1.Preceeding viral infection
2. Ascending weakness (paralysis)
3.Polyneuropathy
4.Weakness of breathing muscles
#4
Re: Acute Progressive Weaknes of Extremi sudha2015 - 01-20-11 09:33 symmetric weakness of both sides of the face and the proximal and distal muscles of the extremities.Sensation is intact.No deep tendon reflexes can be elicited;the plantar responses are flexor.ie Guillain-Barre syndrome
#5
Re: Acute Progressive Weaknes of Extremi babbu5508 - 01-20-11 11:22 the clue to the diagnosis is motor involvement with relative sparing of the sensory system....usually after a respiratory inf or vaccine
#7
Re: Acute Progressive Weaknes of Extremi babbu5508 - 01-20-11 11:49 usually exhibits as an ascending paralysis noted by weakness in the legs that spreads to the upper limbs and the face along with complete loss of deep tendon reflexes. With prompt treatment by plasmapheresis or intravenous immunoglobulins and supportive care, the majority of patients will regain full functional capacity.
#9
Re: Acute Progressive Weaknes of Extremi sudha2015 - 03-28-11 00:43 symmetric weakness of both sides of the face and the proximal and distal muscles of the extremities.Sensation is intact.No deep tendon reflexes can be elicited;the plantar responses are flexor.Which of the following is the most likely diagnosis?
B
#10
Re: Acute Progressive Weaknes of Extremi babbu5508 - 03-31-11 19:30 bilateral limb weakness with Sensation is intact,No deep tendon reflexes can be elicited;the plantar responses are flexor=GBS
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