Main menu:

Google


Leg Numbness

UNFINISHED CASE: COME BACK LATER 

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

History of Present Illness:

  • An 82-year-old male with a history a-fib on warfarin and a prior CVA that had caused left-sided weakness, presents to the ED with new left leg numbness that started while eating breakfast 1 hour ago.
  • He states the leg feels swollen to him, but denies leg pain, weakness, headache, back pain, other complaints

Vital Signs & Physical Exam:

  • Vital signs are normal except for.
  • Physical exam shows subtle left arm and left leg weakness, which the patient states he does not think was there prior to breakfast

Initial Differential Diagnosis:

  • CVA
  • Sciatica
  • DVT

Initial Diagnostic Testing:

  • CBC and BMP are normal.  INR is only 1.7
  • Head CT shows the old stroke, but no bleed
  • Venous duplex is negative for DVT
  • He is seen by the stroke team, which recommends aspirin but no tPA

QUESTIONS:

  1. What other uncommon, but not rare condition should be high on your differential diagnosis?  
  2. What exam finding should you check for and what test should you order?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>

***************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Tarascan Emergency Department Quick Reference GuideA to Z 3rd ed book cover

Get one of our publications, all designed specifically for Emergency Care Providers:

***************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

ANSWERS:

  1. What does the case image image show?  The image shows .
  2. What should you do next?  Treat with.  Consult.
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

PLACE PAGE HERE

CLICK HERE TO LEAR MOVE ABOUT THIS BOOK

CASE CONCLUSION:  Unilateral leg numbness or weakness with no arm involvement is rarely due to a stroke.  Consider sciatica or limb ischemia

:
Google
 
Web www.edinsight.com