Can I read Weak and Winded on EtoBox?

Weak and Winded by Ikjae Lee; Jeremey B. Walker; Kenkichi Nozaki; Lisa L. Willett is a Medicine article available to read on EtoBox.

What is Weak and Winded about?

A 22-year-old woman with a history of sickle cell disease and migraine headaches presented to the emergency department with weakness that had caused her to fall that day. She reported a gradual progression of weakness over a period of 6 months, which had led in the previous few weeks to difficulty standing, climbing steps, and lifting her child. Her weakness was symmetric in both her arms and her legs, and she had hand stiffness and dull, aching pain in both thighs. She reported no cognitive impairment, paresthesia, numbness, or urinary incontinence. The differential diagnosis for muscle weakness is broad. Weakness in the proximal muscles of the arms and legs arouses suspicion for peripheral nervous system dysfunction such as a myopathy, neuromuscular junction disorder, motor neuropathy or neuronopathy, and polyradiculoneuropathy. The patient has normal mentation, absence of sensory symptoms, and intact bladder control, findings that lessen suspicion of processes in both hemispheres of the brain, the brain stem, or the cervical spinal cord as the cause of her weakness. The gradual progression suggests inflammation, infection, and metabolic and neoplastic processes more strongly tha

Who reads Weak and Winded?

Author

Ikjae Lee; Jeremey B. Walker; Kenkichi Nozaki; Lisa L. Willett

Publisher

Massachusetts Medical Society

Published

2019

Language

EN

Field

Medicine (Health Sciences)