[PDF] Top 20 Las actividades lúdicas en el proceso enseñanza-aprendizaje.
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Clinical Reasoning: A 52-year-old woman with subacute hemichorea
... A 52-year-old Korean woman with a history of poorly controlled Type 1 diabetes presented for eval- uation of abnormal movements of her right arm and ... See full document
11
Clinical Reasoning: A 52-year-old woman with progressive proximal weakness
... MFM refers to a group of genetically heterogeneous muscular dystrophies with similar muscle biopsy find- ings (disintegration of myofibrils and aggregation of sev- eral proteins into distinct sarcoplasmic deposits), but ... See full document
5
Clinical Reasoning: A 52-year-old woman with 3 weeks of progressive gait ataxia and dysarthria
... worsening clinical status, but given the severity of her symptoms and apparent response to antiretroviral therapy with a now undetectable viral load, she was treated empirically for ... See full document
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Clinical Reasoning: A 60-year-old woman with ataxia
... PCD 2 is a consideration in patients in whom structural causes are absent, ovarian neoplasia suspected, and cerebellar ataxia is subacute in onset. It is usually secondary to Purkinje cell cy- toplasmic antibodies ... See full document
23
Clinical Reasoning: A 55-year-old obese woman with headache and rhinorrhea
... Initial laboratory studies were notable for white blood cells (WBCs) of 10.5 with neutrophilic predominance (75%) and elevated erythrocyte sedimentation rate (ESR) of 52. Remaining serum laboratory studies were ... See full document
7
Clinical Reasoning: A 28-year-old pregnant woman with encephalopathy
... This 28-year-old peripartum woman has subacute onset encephalopathy with memory loss and abulia, as well as long tract signs. Encephalopathy suggests a process affecting large areas of the ... See full document
10
Clinical Reasoning: A 51-year-old woman with acute foot drop
... The distribution of sensory disturbances and the results of electrodiagnostic testing confirm that both the superficial and the deep branch of the common fibular nerve are involved. In addition, the reduction of the ... See full document
12
Clinical Reasoning: A 59-year-old woman with acute paraplegia
... The constellation of bilateral leg weakness, radi- ating back pain, and overflow urinary incontinence suggests a lesion within the lower spinal cord or cauda equina. The presence of numbness makes a process involving ... See full document
12
Clinical Reasoning: A 48-year-old woman with generalized weakness
... This patient has subacute onset of proximal limb weakness associated with fluctuating ocular and bulbar symptoms, which suggests a myasthenic syndrome. The differential diagnosis includes my- asthenia gravis (MG) ... See full document
16
Clinical Reasoning: A 64-year-old woman with progressive quadriparesis
... This patient presented with signs of a subacute progress- ive myelopathy. Quadriparesis and bladder dysfunction indicate a lesion at the level of the midcervical spinal cord affecting ventral/lateral spinal cord ... See full document
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Clinical Reasoning: A 54-year-old woman with dementia, myoclonus, and ataxia
... DISCUSSION This case highlights the importance of considering a broad differential diagnosis when evalu- ating patients with subacute onset rapidly progressive cognitive syndromes and avoiding premature closure if ... See full document
8
Clinical Reasoning: A 61-year-old woman with acute onset dysgraphia
... When taking into consideration the acuity of symptoms and the patient’s cardiac history, the highest suspicion is for acute ce- rebral ischemia. In this setting, the most likely explanation is an acute or worsening ... See full document
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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 ... See full document
9
Clinical Reasoning: A 65-year-old woman with subacute hemiballism
... right-hand-dominant woman with a history of hypertension, hyperlipidemia, poorly controlled diabetes, and remote breast cancer presented with 1 week of progressive, involuntary left hemibody ... See full document
10
Clinical Reasoning: A 50-year-old woman with SLE and a tumefactive lesion
... a subacute lacunar stroke, though given the similarity in imaging characteristics, it is also possible that this lesion represented a first subacute demyelinating ...A year later, she presented with ... See full document
26
Clinical Reasoning: A 43-year-old woman with right limb weakness
... new clinical diagnosis of Cushing disease was ...to clinical practice guidelines for treating CS, removal of the pituitary tumor is an effective ...1 year after surgery, especially in the first 4 ... See full document
12
Clinical Reasoning: A 38-year-old woman with childhood-onset weakness
... A 38-year-old woman presented to the neuromuscular clinic for evaluation of progressive muscle weakness. She was born full-term and had normal early develop- mental milestones. In elementary school ... See full document
37
Clinical Reasoning: An 87-year-old woman with left-sided numbness
... An 87-year-old woman with a history of hyperten- sion, hyperlipidemia, and peripheral vascular disease presented with acute left paresthesias. On evaluation, blood pressure was 152/77 mm Hg and heart ... See full document
8
Clinical Reasoning: A 51-year-old woman with weakness and stiff neck
... 51-year-old woman presented to the neuromuscu- lar clinic for evaluation of predominantly proximal bilateral lower limb weakness that had slowly pro- gressed for 5 ... See full document
79
Clinical Reasoning: A 23-year-old woman with fever and vertical diplopia
... A 23-year-old woman with a history of uncomplicated migraine headaches presented with 2 days of headache. Her typical migraines were preceded by visual aura and usually resolved after taking a ... See full document
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