Session Type
Meeting
Search Results for Paralysis
Abstract Number: 743
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 25 year-old male with no significant past medical history presented to the emergency department after he woke up with sudden onset weakness in his bilateral thighs and arms. He had history of heat intolerance, palpitations, dysphagia and weight loss of 40 pounds over last 3 months but denied any changes in skin, […]
Abstract Number: 814
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 63 year-old man with diabetes mellitus, hypertension, and GERD presented from an outside hospital with bilateral upper extremity paralysis, paresthesias, and neck pain which started minutes after sneezing. Vital signs were stable and neurologic examination was remarkable for bilateral upper extremity strength of 0/5 with absent reflexes and reduced sensation to pinprick. […]
Abstract Number: 816
SHM Converge 2024
Case Presentation: A 46 year old man living in southwestern Maine with a history of hypertension, hyperlipidemia, and obesity presented in late September with 2 days of numbness in the right foot that progressed to bilateral lower extremity weakness, numbness, and difficulty ambulating. Patient denied any recent illnesses, vaccinations, travel or known bites the month […]
Abstract Number: 858
SHM Converge 2024
Case Presentation: A twenty-year-old male patient with no past medical history presented to the emergency department with bilateral lower extremity weakness after working in agricultural fields which had progressed over three hours to near paralysis. When the patient was first evaluated, an ECG revealed his heart rhythm to be in asymptomatic ventricular tachycardia. He exhibited […]
Abstract Number: 918
SHM Converge 2024
Case Presentation: An 18-year-old male presented with ascending paralysis, starting in the lower extremities and progressing to the upper extremities over 24 hours after a carbohydrate rich meal. Other review of systems was negative. He reported one prior ICU admission for similar symptoms, but details were not available. Father and grandfather had similar presentations of […]
Abstract Number: C24
SHM Converge 2022
Case Presentation: A 3-year-old female who recently returned from a bear-hunting trip in Idaho presented with a 4-day history of progressive ascending paralysis and hyporeflexia. Her symptoms initially started 4 days prior to presentation with difficulty walking and progressed to difficulty urinating and eventual upper extremity weakness. The family did not seek medical care until […]
Abstract Number: F24
SHM Converge 2022
Case Presentation: A four-year-old previously healthy, vaccinated female presented with severe, acute-onset ataxia. She was in her usual state of health until the day prior to presentation, when she was picked up from school and reported feeling like she was going to fall. She continued to develop progressive unsteadiness and experienced several falls throughout the […]
Abstract Number: 1000
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Severe peripheral disease with arterial thrombosis can present as bilateral leg paralysis and extreme pain. Caution must be exercised to exclude vascular pathology ( in addition to neurologic differentials), to avoid premature closure of diagnosis and to avoid catastrophic outcomes. One such rare disorder is Leriche syndrome, whereby, patients develop aortoiliac thrombotic occlusion, […]
Abstract Number: 1015
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic […]
Abstract Number: 1068
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was […]