Last updated on: August 1st, 2020

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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 62 year old lady is brought in after falling down and finding herself unable to get back up. She had experienced insidious, progressive upper and lower limb weakness for the last month but was otherwise asymptomatic.

She was diagnosed with stage 3 vulval cancer 10 years ago, which was treated by a radical vulvectomy with bilateral groin node dissection and chemo-irradiation, with no recurrence since.

Her FBC, urinalysis, electrolytes and renal functions are normal.

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