Correspondence-middle-aged man with acute onset quadriparesis

A middle aged man with acute onset quadriparesis: a diagnostic exercise.

Department of 50-year-old male farmer presented with the first episode of sudden onset weakness involving Medicine, Maulana A all four limbs simultaneously for the last 8 hours. There were no sensory symptoms. The Azad Medical College patient was a chronic smoker (two cigarettes/d) for the past 20 years. There was no family history of and Assoc LN Hospitals, similar episodes. His pulse rate was...

Middle aged man with groin pain.

Isolated Acute Posterior Myocardial Infarction in a Middle-Aged Man

On examination, he was alert, oriented, anxious, and in moderate distress with significant diaphoresis. Vital signs were blood pressure, 118/88 mm Hg; pulse, approximately 80 beats/min; respiratory rate, 28 breaths/min; temperature, 37.1°C (98.8°F); and oxygen saturation, 94% on room air. The ECG monitor demonstrated the normal sinus rhythm with occasional premature ventricular contractions. Th...

Acute Eosinophilic Ascites in a Middle-Aged Man

Eosinophilic gastroenteritis is a rare condition characterized by recurrent eosinophilic infiltration of portions of the GI tract and presenting with nonspecific GI symptoms in association with peripheral eosinophilia. Its etiology and pathogenesis remain unclear and its symptoms overlap with many GI and systemic diseases. Thus, both gastroenterologists and general internists need to be aware o...

A young man with reversible quadriparesis.