[PDF] Top 20 Influencia de la variación de las propiedades del árido reciclado en el hormigón endurecido

... Our patient’s worsening axial and limb stiffness and EMG are suggestive of stiff-person syndrome (SPS). Patients with SPS classically present with symmetric, board-like stiffness of axial and limb musculature, as ... See full document

... On presentation, the numbness had advanced proximally from the feet to the knees. He had devel- oped a broad-based gait and needed aids to walk. Bladder and bowel function were normal. His appe- tite was ... See full document

... Neurologic examination revealed a wide-based spastic gait with positive Romberg sign. Cognition and cranial nerve examination were normal. Strength was 4/5 in both iliopsoas, and 41/5 in the remaining muscles of ... See full document

... 41-year-old man with a history of low testosterone on androgen therapy presented to the emergency department complaining of acute onset of the worst headache of his ...his gait was stable and ... See full document

... Hmong man sought medical care because of worsening performance on military train- ing ...years old, he underwent orthotropic heart transplan- ... See full document

... right-handed man with a history of hypertension and hyperlipidemia presented with an 18-month history of diplopia and unsteady ...a year, his balance worsened to the point where he required a walker due to ... See full document

... A 70-year-old man presented with progressive gait unsteadiness for 5 years. He also had to use his arms to climb stairs or to get up from a chair. He reported no pain, sensory symptoms, or ... See full document

... Vietnamese man presented to the hospital with rapid cognitive ...of clinical improvement and extension of T2 hyperintense signal on repeat MRI, detailed ... See full document

... On examination, vital signs were normal. There was right lateral rectus palsy, sustained jerk nystag- mus to the right on rightward gaze with saccadic ataxia, flattening of the right nasolabial fold, and spasticity with ... See full document

... A 51-year-old Caucasian man presented with cervical pain, right hand weakness, and progressively deteriorat- ing gait. Onset of symptoms occurred 1 month before admission with cervical pain ... See full document

... 57-year-old man presented with progressive difficulty in walking for 2 weeks, resting hand tremors for 1 week, and low-volume speech for 2 ...stepped gait with history of en bloc falling ... See full document

... 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

... The clinical, laboratory, electrophysiologic, radio- logic, and pathologic features of CISP suggest dorsal root inflammation as the underlying etiology. Our patient ’ s SNAPs and CMAPs were reduced, suggest- ing ... See full document

... A 28-year-old man with sickle cell disease presented with 7 months of difficulty walking. Initial examination 3 months prior to admission to our hospital was thought to be consistent with a ... See full document

... can be challenging because there are no commercially available tests, and the diagnosis is typically made on the clinical history, supportive laboratory/imaging studies, and elimination of other possible causes. ... See full document

... Based on the clinical presentation, family history, abnormal laboratory data, and positive genetic testing, the patient was diagnosed with X-linked AMN. A detailed 3-generation family pedigree is included ... See full document

... of these findings were present in our patient, but when present, they might also confuse the diagnosis of neurosarcoidosis and multiple sclerosis (MS) be- cause both diseases present similarly. As clinical pre- ... See full document

... 79-year-old man was referred to the neuromuscular clinic for evaluation of severe ...One year ago, he began tripping over his feet due to ankle weakness, resulting in falls on several ... See full document

... A detailed neuro-ophthalmologic history and exami- nation is critical for evaluation of double vision (table). First, it should be established whether double vision is monocular (persists with the fellow eye closed) or ... See full document

... 65-year-old man with well-controlled diabetes presented with 3 months of progressive left- side predominant weakness accompanied by painless paresthesias of his bilateral upper and lower ... See full document