[PDF] Top 20 Análisis del producto artesanal actual del departamento de Putumayo.
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Clinical Reasoning: A teenager with left arm weakness
... with left arm ...noticed left arm weakness while carrying a heavy ...The weakness improved and he was able to play lacrosse during spring ...substantial weakness of his ... See full document
5
Clinical Reasoning: A teenager with persistent headache
... Headache is a common symptom in the general population. This includes primary headache disorders such as migraine or tension-type headaches or secondary headache disorders that may be due to infection, sinusitis, ... See full document
7
Clinical Reasoning: A demure teenager and her dystonic foot
... DISCUSSION Akinesia is not frequently associated with juvenile patients, particularly in the adult clinic. A much more frequent encounter is the demure teenager reluc- tant to engage in the clinical ... See full document
33
Clinical Reasoning: A 23-year-old woman with paresthesias and weakness
... In the peripheral nervous system, radiculopathy, plexopathy, or a nerve lesion could be responsible for combined motor and sensory impairment in the hand. Minor repetitive trauma can cause nerve dam- age, resulting in ... See full document
16
Clinical Reasoning: A 43-year-old woman with right limb weakness
... Holter cardiac rhythm monitoring indicated no atrial fibrillation. Transcranial Doppler (TCD) with saline contrast medium suggested a right-to-left shunt (figure, E). Therefore, transesophageal echo- cardiography ... See full document
12
Clinical Reasoning: A 65-year-old man with asymmetric weakness and paresthesias
... progressive left- side predominant weakness accompanied by painless paresthesias of his bilateral upper and lower ...progressive weakness of his left lower extremity followed by the right ... See full document
16
Clinical Reasoning: A 58-year-old man with distal hand weakness
... revealed weakness of the abductor digiti minimi (ADM) muscle and interosseous muscles (Medical Research Council [MRC] grade 3/5) and flexor muscles of the third, fourth, and fifth fingers (MRC 4/5) of the left ... See full document
10
Clinical Reasoning: A 48-year-old woman with generalized weakness
... She had proximal arm weakness when washing her hair and had trouble climbing steps and getting out of her chair without using her arms. About 2 months later, she developed fluctuating bilateral pto- sis and ... See full document
16
Clinical Reasoning: An unusual lung mass causing focal weakness
... and clinical findings showing weakness in arm/wrist ex- tension were most consistent with dysfunction of lower trunk of the brachial plexus involving radial, median, and ulnar innervated ...produce ... See full document
22
Clinical Reasoning: A 54-year-old man with dyspnea and muscle weakness
... Examination revealed unremarkable cognitive abilities, normal cranial nerves, appropriate neck strength with mild weakness (4/5) bilaterally on deltoids, iliopsoas, and quadriceps. Calf muscles were hypertrophic. ... See full document
11
Clinical Reasoning: A 42-year-old man with unilateral leg weakness
... A previously healthy 42-year-old man, with a family history of muscle weakness in an older brother and a paternal uncle, developed proximal right leg weakness. He had first noticed slowness in running ... See full document
55
Clinical Reasoning: A 38-year-old woman with childhood-onset weakness
... patient. Two years later, she had a left middle cerebral artery cardioembolic ischemic stroke and was found to be in atrial fibrillation. She underwent pacemaker place- ment. At that point, she was referred back ... See full document
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Clinical Reasoning: A 30-year-old man with progressive weakness and atrophy
... A 30-year-old man who recently immigrated from Liberia was admitted to the neurology service for dif- fuse weakness. He reported 7 years of painless pro- gressive weakness and atrophy. He noted that his ... See full document
5
Clinical Reasoning: A 34-year-old man with recurrent limb weakness
... Since this patient’s symptoms are limited to the arms, MMN or LSS are high on the differential diag- nosis. LSS is also referred to as multifocal acquired demyelinating sensory and motor neuropathy. It is a possible ... See full document
6
Clinical Reasoning: A 16-year-old girl with subacute weakness and sensory loss
... A previously healthy 16-year-old girl developed numbness and tingling in the lower extremities that progressed over a 10-week period to the upper limbs. Two weeks prior to admission, she also developed weakness in ... See full document
5
Clinical Reasoning: A 17-year-old baseball player with right hand weakness
... His clinical course of progressive focal weakness over 2 years is in- congruent with an acute ischemic event or viral ...abduction weakness, positive arm- drop sign, or wrist ... See full document
52
Clinical Reasoning: A 40-year-old woman presenting with distal leg weakness
... Unenhanced MRI of the cervical, thoracic, and lumbosacral spine were normal. Routine chemistry including creatine ki- nase (CK) was normal. Additional bloodwork including GM1 antibodies, erythrocyte sedimentation rate, ... See full document
7
Clinical Reasoning: A 12-year-old boy with ascending weakness
... Electrodiagnostic testing revealed distal predominant sensorimotor axonal peripheral neuropathy. On nerve conduction, bilateral superficial peroneal sensory nerve responses were absent, the left peroneal motor ... See full document
10
Clinical Reasoning: A 52-year-old woman with progressive proximal weakness
... The patient was initially evaluated at our institute 10 years ago. She recently returned for a follow-up visit due to the concern of developing respiratory compromise. All these results were from her initial evaluation. ... See full document
5
Clinical Reasoning: A 51-year-old woman with weakness and stiff neck
... limb weakness (MRC grade 3–4). The weakness was rel- atively symmetric (right minimally worse than ...and left knee jerk, which were present but ...the left metacarpophalangeal and distal in- ... See full document
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