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May 29, 2023 5 tweets 1 min read
A patient bounces back to the ED with bilateral leg weakness to the point that they can't walk.

They were seen 3 days ago with back pain and severe leg cramping. They had a normal lumbar/thoracic MRI and a normal CK.

What's the diagnosis? As numerous people have mentioned, the differential is broad and the clues in the question are not pathognomonic.

But....

I've seen this be Guillan Barre syndrome multiple times.
Sep 13, 2021 6 tweets 1 min read
Tomorrow's case will make the radiologists mad.

Patient evaluated for knee replacement.

Ortho says PCP must do risk stratification.

PCP orders a chest x-ray.

Radiologist says there's a weird 3cm density under a rib.

Guess what? They were right.

And no one followed-up on it.

Until 3 years later when it was a giant cancer.

This is a med mal theme that I see over, and over, and over, and over again.

Incidental findings lawsuits are a dime a dozen.