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#NeurologyMorningReport #NMR Case 65 #MedTwitter #NeuroTwitter Updates & Answers posted later today. Asking your help #MedEd #neurology #neurologyresident #neurologist #medstudent #NeurologyProud #MedStudentTwitter Join me in educating. Share your questions and knowledge.
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Page - 25yo man, hx B cell ALL, ?seizure, now w/ AMS Please come to bedside
Admitted w/diarrhea & GI graft vs host disease
h/o ALL, multiple relapses including leptomeninges now in remission
What further information do you need? What are your 1st thoughts about what's going on?
Admitted w/diarrhea & GI graft vs host disease
h/o ALL, multiple relapses including leptomeninges now in remission
What further information do you need? What are your 1st thoughts about what's going on?
See image for details of event and vital signs
Medications: tacrolimus, infliximab, remicade
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Medications: tacrolimus, infliximab, remicade
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Feels so good to be back to #Neurology. Today I had the pleasure to give #Neurologymorningreport on Necrotizing Autoimmune Myopathy #NAM. #MedTwitter follow below a few pearls I shared with the team @ErsidaBuraniqi @nzalewski2. THREAD.
#NAM is an autoimmune myopathy characterized by severe proximal weakness, myofiber necrosis with minimal or no inflammatory infiltrates on muscle biopsy, and infrequent extra-muscular involvement.
- Usually presents with subacute/chronic severe proximal weakness. Neck weakness is common and dysphagia occurs in aproximately 1/3
- EMG shows proximal myopathy with fibrillation potentials
- CK is usually markedly elevated (in the thousands range)
ja.ma/3g9FWaz
- EMG shows proximal myopathy with fibrillation potentials
- CK is usually markedly elevated (in the thousands range)
ja.ma/3g9FWaz
#NeurologyMorningReport Case 31 #MedTwitter Updates & Answers posted later today. Asking your help #MedEd #neurology #neurologyresident #futureneurologist #medstudent Join me in educating. Share your questions and knowledge.
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65 yo M p/w intermittent horizontal double vision. Went to an ophthalmologist who diagnosed decompensated phoria. Comes for a 2nd opinion. Healthy -no PMH. No meds. SH: No T/E/D. FH: nothing pertinent. What other pertinent questions do you have? How will you focus your exam?
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Great Qs from everyone- such great learning-teaching through seeing what everyone wants to know& examine!
Occurs at night & when tired; goes away when he closes either eye (i.e.has binocular diplopia). Also has drooping of his eyelids at night. Improves after closing eyes
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Occurs at night & when tired; goes away when he closes either eye (i.e.has binocular diplopia). Also has drooping of his eyelids at night. Improves after closing eyes
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#NeurologyMorningReport Case 8 #MedTwitter Updates & Answers posted later today. Asking your help #MedEd #neurology #neurologyresident Join me in educating. Share your questions and knowledge.
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69 yo woman admitted for work-up of worsening cognition and gait over past 8 months-
8 m ago: some mild forgetfulness 8 m ago
5 m ago: episode of confusion and hallucinations (+UTI and B12 300) improved but not completely
Started donepezil
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8 m ago: some mild forgetfulness 8 m ago
5 m ago: episode of confusion and hallucinations (+UTI and B12 300) improved but not completely
Started donepezil
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1m ago confusion worsened, lang probs, gait unsteadiness, BUE tremor. Family noted she seemed to be acting out her dreams.
PMH: HTN, HL, h/o breast cancer, h/o lymphoma
FH: Brother had memory problems.
What would you be looking for on examination?
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PMH: HTN, HL, h/o breast cancer, h/o lymphoma
FH: Brother had memory problems.
What would you be looking for on examination?
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