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We asked you about this case of a 37 year old intravenous drug user with suspected bells palsy. And after reading his case, the diagnosis is: d. Ramsay Hunt Syndrome Firstly this is a lower motor neuron (LMN) facial (CN VII) palsy: facial weakness of the whole of the face.* Bell’s is a lower motor [...]
A 44 year old builder presents with weakness over the past 48 hours. A neurological exam reveals the following (N=normal): Upper Limbs Lower Limbs Right Left Right Left Tone N reduced N N Power (MRC) 4/5 4/5 3/5 4/5 Coordination N N N N Sensation Fine touch Proprioception N N N N N N N [...]
A 62 year old man presents with a swollen right calf 3 weeks after undergoing a total left hip replacement. He is known to have rheumatoid arthritis. An Emergency Department doctor tells you that he feels the patient can be discharged. He tells you this because he shows you the D-Dimer result, which is “negative”. [...]
We asked you a question on symptoms of hypoadrenalism here. The answer is of course: e. Skin Pigmentation Most of the symptoms of adrenal insufficiency (e.g. hypotension, weight loss) result from low cortisol levels and therefore do not distinguish between adrenal or pituitary failure. This question tests your understanding of the hypothalamic-pituitary-adrenal axis. This is [...]
Those of you who guessed B as the answer to our question of the day on hepatitis C were correct! The chances of transmission are as follows: Condition Notes HIV/AIDS 0.3% Risk assessment needed prior to administering post exposure prophylaxis Hep C 3%[1] PCR testing for Hep C virus will give most accurate and reliable [...]