Sinai Hospital of Baltimore IM Residency
Sinai Hospital of Baltimore IM Residency

@SinaiBmoreIMRes

7 Tweets 1 reads Aug 24, 2024
1/6
#Morningreport @SinaiBmoreIMRes by K. Hasel
recently featured an elderly male with generalized weakness X 3 days
#DDx ? #MedTwitter #MedStudentTwitter #FOAMed
2/6
DDX for gen. weakness that were generated included:
3/6
ROS + Loose stools + Lower abd. pain
The patient's course included the development of hypoxemia, bilateral lower ext. weakness and pain.
The weakness worsened to the point where the pt could only move the eyes and mouth.
4/6Labs: showed WBC 12.81 and Pre-renal azotemia.
LP: ⬆️Protein
Suspicion: GBS and IVIG initiated
EMG: Diffuse axonal & demyelinating neuropathy consistent with GBS.
Further CSF analysis: IgG + WNV
5/6 Teaching points about this must not miss DX: GBS:
6/6 Teaching points continued:

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