[PDF] Top 20 Estudio etnobotánico sobre plantas medicinales contra la malaria
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Clinical Reasoning: A young woman with symmetric weakness and behavioral disturbance
... 19-year-old woman presented with altered mental status and progressive ...developed weakness in both arms, and was unable to lift them above her head, followed shortly thereafter by proximal leg ... See full document
5
Clinical Reasoning: A 40-year-old woman presenting with distal leg weakness
... hIBM can be differentiated from sIBM as the latter (1) typi- cally presents at an older age, (2) more commonly has dys- phagia, (3) often involves the quadriceps, (4) is more frequently asymmetric, (5) is more likely to ... See full document
7
Clinical Reasoning: A 71-year-old woman with subacute progressive distal weakness and paresthesia after vaccination
... 71-year-old woman presented to the emergency department complaining of weakness and a dull ache in her lower limbs and symptoms of ascending pares- thesia and anesthesia, which had appeared initially in the ... See full document
9
Clinical Reasoning: A 62-year-old woman with bizarre behavior and recurrent episodes of behavioral arrest
... improved. Clinical and electrographic improvement following administration of benzodi- azepine and antiepileptic drug (AED) treatment sug- gests the diagnosis of ... See full document
9
Clinical Reasoning: An unusual case of blurry vision in a young woman after ovarian induction
... A 38-year-old woman presented to our emergency department with blurry vision and headache. She developed her symptoms insidiously 8 days into ovarian induction for in vitro fertilization (IVF), consisting of ... See full document
5
Clinical Reasoning: A teenager with left arm weakness
... Due to entrapment neuropathies at multiple sites, hereditary neuropathy with liability to pressure palsies (HNPP) was considered. A detailed family history was suggestive of neu- ropathy. The patient’s mother had ... See full document
5
Clinical Reasoning: A young woman with rapid mental deterioration and leukoencephalopathyA treatable cause
... on clinical features and MRI abnormalities, arylsulfa- tase A deficiency (metachromatic leukodystrophy), a -galactosidase deficiency (Fabry disease), X-linked adrenoleukodystrophy, mitochondrial diseases, and ... See full document
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Clinical Reasoning: A young woman with respiratory failure, hearing loss, and paraplegia
... This case demonstrates the unique constellation of a spinal cord infarction combined with bilateral globus pallidal infarctions and a possible hypoxic cochlear injury that were all caused by oxycodone overdose. It also ... See full document
9
Clinical Reasoning: A young adult presents with focal weakness and hemorrhagic brain lesions
... for the clinical picture and the potential involvement of both anterior and posterior circulation territories. Other causes of multifocal stroke with hemorrhagic conversion include CNS vasculitis and moyamoya ... See full document
9
Clinical Reasoning: An 83-year-old woman with acute right-sided weakness and chest pressure
... 5. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, ... See full document
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Clinical Reasoning: Proptosis, headache, and fever in a healthy young woman
... Subarachnoid hemorrhage as a complication of meningoencephalitis is rare and associated with the development of infectious or mycotic aneurysms1. 7 – 9.[r] ... See full document
7
Clinical Reasoning: A 12-year-old boy with ascending weakness
... verse myelitis is sudden onset of combined motor and sensory disturbance in the trunk and legs. Sphincter dysfunction is common and there is often a sensory level to pain and temperature that indicates the level ... See full document
10
Clinical Reasoning: A 60-year-old woman with ataxia
... A 60-year-old woman presented to the hospital 4 days after onset of difficulty speaking. Her tongue was not moving as usual and speech was slurred. In the hospital, she had difficulty with walking, tending to fall to ... See full document
23
Clinical Reasoning: An unusual lung mass causing focal weakness
... ical reasoning skills of trainees. Residency programs, medical student preceptors, and individuals were in- vited to use this Mystery Case as an educational tool. Responses were solicited through a group e-mail ... See full document
22
Clinical Reasoning: A man with rapidly progressive weakness and respiratory failure
... compatible clinical syndrome combined with culture of the virus, detection of IgM antibodies by ELISA with a confirmatory plaque neu- tralization test, or a 4-fold rise in POWV antibody ... See full document
5
Clinical Reasoning: A woman with rapidly progressive apraxia
... The differential diagnosis includes frontotemporal dementia, corticobasal degeneration, and other leukoencephalopathies such as metachromatic leukodystrophy, cerebral autosomal dominant [r] ... See full document
30
Clinical Reasoning: A pregnant woman with chin numbness
... One week later, she returned with persistent drenching night sweats, severe fatigue, and bilateral chin numbness. In addition, her arm paresthesias had evolved to lancinating pain described as “electrical” and left arm ... See full document
8
Clinical Reasoning: Leg weakness and stiffness at the emergency room
... The patient turned out to be seropositive for human T-cell lymphotropic (formerly leukemia) virus (HTLV-1). This se- rologic finding was confirmed in a reference laboratory. Anti- bodies against HTLV-1 were found in the ... See full document
7
Clinical Reasoning: A 70-year-old woman with acute-onset weakness and progressive hemiataxia
... There, her examination was notable for occa- sional mumbling speech but no dysarthria or apha- sia. She had intact memory, cranial nerves, and sensation. There was moderate right arm and leg weakness (MRC [Medical ... See full document
5
Clinical Reasoning: A 23-year-old woman with paresthesias and weakness
... cause weakness in the flexor carpi ulnaris, deep finger flex- ors, flexor pollicis longus, interossei, adductor polli- cis, and extensor indicis proprius ...in weakness of the muscles innervated by the ... See full document
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