Discover and read the best of Twitter Threads about #syphilismyelitis
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2/ Young adult who has been having dysuria for several days, who also has developed LE weakness leading to difficulty with ambulation. Did have an #URI last week but feels completely improved from that.
3/ Denies numbness, no back/neck pain, no trauma. On exam, has 4/5 strength in bilateral lowers, full strength uppers, has ¾ reflexes on patellar and Achilles with 5-7 beats clonus at the ankle, toes are down-going. No sensory deficits. What’s in your differential? 🤔 Think #UMN
