Clinical Reasoning: A 49-Year-Old Man with Altered Mental Status and Left
نویسندگان
چکیده
منابع مشابه
Clinical Reasoning: A 49-year-old man with progressive numbness, weakness, and evidence of leptomeningeal enhancement.
Section 1 A 49-year-old man with a medical history significant for diabetes mellitus, a left thigh sarcoma that was resected 5 years prior, and a seizure disorder on valproic acid presentedwith 2months of progressive numbness and weakness. Symptoms began with painful paresthesias in both thumbs that progressed to numbness. His feet subsequently became numb, and within 3 weeks he noted gait unst...
متن کاملA 39-year-old man with acute mental status changes.
The incidence of herpes simplex virus (HSV) encephalitis exceeds that of other forms of acute viral encephalitis. It is widely acknowledged that the use of PCR amplification for the detection of HSV DNA in cerebrospinal fluid (CSF) has increased our diagnostic sensitivity for this illness, leading to the diagnosis of HSV encephalitis in a wide range of clinical presentations. It is important to...
متن کاملA 16-year-old boy with altered mental status.
and colleagues discuss hard-to-diagnose cases. A 16-year-old boy was transferred from an outside hospital for evaluation of altered mental status. Earlier in the month, he had begun having feelings of nervousness and anxiety. He reported hearing voices and having visual hallucinations. According to his parents, these symptoms had begun after the patient had been out clubbing with his friends; h...
متن کاملDIAGNOSTIC DILEMMAS AND CLINICAL REASONING A 33-Month-Old With Fever and Altered Mental Status
A 33-month-old girl presented with 3 days of fever and 1 day of multiple paroxysmal episodes of screaming with apparent unresponsiveness, flexed lower extremities, clenched hands, and upward eye deviation. These events lasted seconds to a minute at a time and occurred only during sleep. She slept peacefully between episodes and was easily awakened. She had a history of mild speech delay and mil...
متن کاملClinical Reasoning: a 57-year-old man with jaw spasms.
SECTION 1 A 57-year-old man presented with spasms of his left jaw. Two years prior, he had developed left-sided facial numbness followed by development of left-sided shock-like pain and then involuntary and repetitive movements of the jaw-closing muscles. Jaw muscle contractions were episodic, interfered with chewing and talking, and led to frequent tongue biting. Individual spasms varied from ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of the Korean neurological association
سال: 2022
ISSN: ['1225-7044', '2288-985X']
DOI: https://doi.org/10.17340/jkna.2022.4.22