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Hand Weakness

UNFINISHED CASE: COME BACK LATER 

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History of Present Illness:

  • A 52-year-old male presents to the ED with right arm weakness and paresthesias noted on waking at 9 AM.
  • PMH: neck surgery

Vital Signs & Physical Exam:

  • Vital signs are normal except for.
  • Physical exam shows grip weakness on the right

Initial Differential Diagnosis:

  • Stroke
  • Neuropraxia

Initial Diagnostic Testing:

  • CT head shown below

 

QUESTIONS:

  1. What does the case image show?  (click two times to enlarge)
  2. What should you do next?  
  3. Where can one get a quick refresher on this topic?  

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ANSWERS:

  1. What does the case image image show?  The image shows…
  2. What should you do next?  and consult   .   See case conclusion below tutorial page-shot.
  3. Where can one get a quick refresher on this topic?  See yellow highlighted area below from purple book above…

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

 

 

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CASE CONCLUSION: Believe in this patient had a CT angiogram of the head as well as an MR angiogram and MRI of the brain and MRI of the cervical spine which were all negative. Clinical impression of radial nerve palsy was sustained the patient was discharged home with this

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