[PDF] Top 20 Educação de Jovens e adultos: um Sul teórico descolonial para compreender o contexto latino-americano
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Clinical Reasoning: A 37-year-old man with multiple cranial neuropathies
... were multiple other lesions involving the anterior parasagittal region of the right frontal lobe, the rostrum of the corpus callosum, and the ...of multiple enhancing parenchymal lesions and leptomeningeal ... See full document
8
Clinical Reasoning: Multiple cranial neuropathies in a young man
... diagnosis is extensive, with the patient ’ s age, immuno- competence, and tempo of progression all key consider- ations for clinical evaluation (table 2). The basic evaluation includes assessment for evidence for ... See full document
7
Clinical Reasoning: A 51-year-old woman with syncopal episodes and multiple cranial neuropathies
... no clinical suspicion of trauma or ...her multiple cranial ...the cranial nerves VIII–XII only on the right, without long tract signs, pointed toward skull base ... See full document
24
Clinical Reasoning: A 65-year-old man with asymmetric weakness and paresthesias
... intact cranial nerve examination. Some key clinical features to consider for peripheral nervous system involvement are asymmetric motor and sensory findings, patchy distribution of sensory changes, and pre- ... See full document
16
Clinical Reasoning: Pneumocephalus and pneumorrhachis in a 67-year-old man
... The CSF was primarily composed of a high number of granulocytes in addition to multiple various bacteria. The total protein level was 19 mg/dL and the lactate level was 25 mmol/L. CSF Gram staining revealed the ... See full document
9
Clinical Reasoning: A 48-year-old man with walking difficulty
... impairment), carbon disulfide (sensory ataxia), or eth- ylene oxide (leg cramps, weakness, numbness, gait ataxia) are possible, but no such exposure was re- ported. Nutritional deficiency-related neuropathies ... See full document
8
Clinical Reasoning: A 58-year-old man with distal hand weakness
... More recently, a spontaneous frontal intradiploic meningoence- phalocele has been reported in a 60-year-old woman with a history of multiple traumatic head injuries during her childhood. 9 The ... See full document
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Clinical Reasoning: A 68-year-old man with rapid cognitive decline
... sinus. Multiple supplying vessels were identified including the posterior branch of the left middle meningeal artery and a meningeal branch of the left posterior cerebral artery, the artery of Davidoff and ... See full document
10
Clinical Reasoning: A 50-year-old man with “elephantiasis” and headache
... in multiple vascular territories in both the posterior and anterior circula- tion (left posterior inferior cerebellar artery and left middle cerebral artery), which is a pattern typically considered suggestive of ... See full document
13
Clinical Reasoning: A 57-year-old man with jaw spasms
... EMG recordings demonstrated fasciculation potentials in the left masseter muscle. Spasms in the left masseter were characterized by increasing frequency of fasciculation dis- charges, often in bursts, followed by ... See full document
12
Clinical Reasoning: A 73-year-old man with diplopia and ataxia
... include multiple punctate and curvilinear patterned gadolinium contrast-enhancing lesions with faint visualization on T2- and FLAIR-weighted images suggesting scarce ... See full document
53
Clinical Reasoning: A 36-year-old man with vertical diplopia
... particular direction of gaze may be partial or com- plete, and may result from dysfunction at the level of the cranial nerve, eye muscle, or neuromuscular junc- tion. Muscle overaction in a direction of gaze often ... See full document
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Clinical Reasoning: A 25-year-old man with headaches and collapse
... Reflexes are typically brisk in young adults; how- ever, this pathologic degree of hyperreflexia and clonus implied more diffuse CNS involvement. Considering the patient ’ s age, a demyelinating process such as neu- ... See full document
35
Clinical Reasoning: A 56-year-old man with progressive spasticity
... progressive multiple sclerosis; metabolic disorders such as vitamin B12 and copper deficiency; mass lesion such as intramedullary spinal cord tumor; neurodegenerative conditions such as pri- mary lateral ... See full document
16
Clinical Reasoning: A 79-year-old man with polyneuropathy and dysautonomia
... The differential diagnosis of chronic polyneuropathy with prominent dysautonomia can be divided into acquired vs hereditary. Acquired etiologies include metabolic causes such as diabetes mellitus, toxic causes such as ... See full document
16
Clinical Reasoning: A 40-year-old man with tremor and seizure
... and multiple sclerosis (MS) be- cause both diseases present ...As clinical pre- sentations may be similar, MS should be considered in the differential diagnosis especially in the face of ambiguous CSF ... See full document
5
Clinical Reasoning: A 33-year-old man with cardiomyopathy and myopathy
... Hmong man sought medical care because of worsening performance on military train- ing ...years old, he underwent orthotropic heart transplan- ...had multiple stents placed for coronary artery disease ... See full document
9
Clinical Reasoning: A 42-year-old man with unilateral leg weakness
... support the diagnosis. 1 However, in our patient, genetic testing conducted as described previously 5 revealed a patho- logic mutation in the copper zinc superoxide dismutase 1 (SOD1) p.A4V ... See full document
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Clinical Reasoning: An 82-year-old man with worsening gait
... Our patient’s mental status, cranial nerve, strength, sensory, and reflex examinations were nor- mal. There was no tremor, hypomimia, scanning speech, hypophonia, or bradykinesia. He had mild resistance to passive ... See full document
8
Clinical Reasoning: A 27-year-old man with unsteady gait
... Upon arrival, his temperature, blood pressure, heart rate, respiratory rate, and oxygen saturation were all normal. His fingerstick glucose was 92 mg/dL. On physical examination, he appeared well, in no apparent ... See full document
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