Last updated on: March 7th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

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A 32 year old woman presents with worsening lower back pain, difficulty in walking and weakness of both lower limbs for 6 months.

The pain was severe, exacerbated by activity and poorly responsive to analgesics. The lower limb weakness was pronounced when climbing stairs and getting up from chairs.

She also complains of a dry mouth, constipation and urinary frequency.

Serum electrolyte levels are normal, while her ESR is 10 mm/1h.

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