A 23-year-old man complaining of weakness in the lower limb for 2 days and progressive symptoms in the upper limb, vital signs are normal, on examination: flaccid weakness, arflaxia, sensory normal. Which of the following historical findings is most relevant to his current condition
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: A. History of gastroenteritis two weeks ago
Rapidly ascending flaccid weakness with areflexia and normal sensation in a young man = Guillain-Barré syndrome. GBS typically follows a GI or respiratory infection 1-4 weeks earlier, with Campylobacter enteritis the most common association, so a recent gastroenteritis is the key history. DM and ESRD cause chronic, mainly sensory, neuropathies, not this acute picture.
ليش كل خيار صح أو غلط
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A
ليش صح
About two-thirds of GBS cases follow a respiratory or GI infection 1-4 weeks earlier, and Campylobacter enteritis is the most common associated disease.
✓ Guillain Barre Syndrome + mysthenia gravis.pdf · p. 4 -
B
ليش غلط
Diabetes is a common cause of polyneuropathy, but toxic or metabolic causes have a less exact onset date; an onset with a definite date, like this 2-day history, points to an immune-mediated or infectious cause.
✓ Guillain Barre Syndrome + mysthenia gravis.pdf · p. 1 -
C
ليش غلط
A chronic dialysis background does not explain a 2-day onset: a definite onset date points to an immune-mediated or infectious cause, whereas toxic or metabolic causes have a less exact onset date.
✓ Guillain Barre Syndrome + mysthenia gravis.pdf · p. 1 -
D
ليش غلط
A chronic dialysis background does not explain a 2-day onset: a definite onset date points to an immune-mediated or infectious cause, whereas toxic or metabolic causes have a less exact onset date.
✓ Guillain Barre Syndrome + mysthenia gravis.pdf · p. 1
- المصدر
- Guillain Barre Syndrome + mysthenia gravis.pdf · p. 4
- المحاضرة
- GBS & Myasthenia Gravis · Neurology · Module C
- ظهر في
- MED42 Compre C