Last updated on: July 16th, 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.

Still More Weakness


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A 71 year old woman presents with rapidly progressive weakness of her right upper and lower limbs for 1 hour, along with pain in the back of her neck. There was no history of antecedent trauma.

Her medical history is significant only for hypertension for 5 years, which is well controlled on ramipril alone.

A random capillary glucose is found to be 130 mg/dl, as is her electrolyte profile, renal functions and liver functions.

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